Carers\u27 preferences for the delivery of therapy services for people with disability in rural Australia: Evidence from a discrete choice experiment

Background: The implementation of the Australian National Disability Insurance Scheme (NDIS) is expected to generate a responsive, person-centred system that will empower people with disability to choose the services and support they receive. However little attention has been paid to examine how users of the NDIS will choose and spend their individual budgets. This study aimed to determine quantitatively the relative importance that carers of people with a disability living in rural Australia place on different therapy service delivery characteristics. Methods: A stated preference discrete choice experiment (DCE) was incorporated into a survey of carers of people with disability living in rural Australia. Carers chose between therapy delivery services differing in attributes such as travel time to receive therapy, sector providing the service (i.e. Government, not-for-profit, private), out-of-pocket costs, person who delivers the therapy (therapist or other staff) and waiting time. Results: A total of 133 carers completed the DCE. The majority of respondents cared for a child with a disability (84%), the average age of the person they cared for was 17 years (SD 14.25). Participants expressed strong preferences for a short waiting time (0-3 months) to receive therapy services; services delivered by a therapist, no out of pocket cost and travelling up to 4 hours to receive a therapy session (p Conclusion: Carers of people with a disability in rural Australia exhibited strongest preferences for short waiting times (0-3 months). Therapy services that are delivered by therapy assistants or support workers will require careful introduction to achieve uptake and acceptability

Factors affecting retention of allied health professionals working with people with disability in rural New South Wales, Australia: discrete choice experiment questionnaire development

Objective: This paper describes the development of a discrete choice experiment (DCE) questionnaire to identify the factors (attributes) that allied health professionals (AHPs) working with people with disability identify as important to encouraging them to remain practising in rural areas. Methods: Focus groups and semi-structured interviews were conducted with 97 purposively selected service providers working with people with disability in rural New South Wales, Australia. Focus groups and interviews were digitally recorded, transcribed, and analysed using a modified grounded theory approach involving thematic analysis and constant comparison. Results: Six attributes that may influence AHPs working with people with disability in rural areas to continue to do so were inductively identified: travel arrangements, work flexibility, professional support, professional development, remuneration, and autonomy of practice. The qualitative research information was combined with a policy review to define these retention factors and ensure that they are amenable to policy changes. Conclusion: The use of various qualitative research methods allowed the development of a policy-relevant DCE questionnaire that was grounded in the experience of the target population (AHPs)

CVD of silicon carbide on structural fibers: Microstructure and composition

Structural fibers are currently being considered as reinforcements for intermetallic and ceramic materials. Some of these fibers, however, are easily degraded in a high temperature oxidative environment. Therefore, coatings are needed to protect the fibers from environmental attack. Silicon carbide (SiC) was chemically vapor deposited (CVD) on Textron's SCS6 fibers. Fiber temperatures ranging from 1350 to 1500 C were studied. Silane (SiH4) and propane (C2H8) were used for the source gases and different concentrations of these source gases were studied. Deposition rates were determined for each group of fibers at different temperatures. Less variation in deposition rates were observed for the dilute source gas experiments than the concentrated source gas experiments. A careful analysis was performed on the stoichiometry of the CVD SiC coating using electron microprobe. Microstructures for the different conditions were compared. At 1350 C, the microstructures were similar; however, at higher temperatures, the microstructure for the more concentrated source gas group were porous and columnar in comparison to the cross sections taken from the same area for the dilute source gas group

Safety in numbers: Does perceived safety mediate associations between the neighborhood social environment and physical activity among women living in disadvantaged neighborhoods?

The aim of this study is to examine associations between the neighborhood social environment and leisure-time physical activity (LTPA)(1) and walking among women, and whether these associations are mediated by perceived personal safety

Should I stay or should I go? Exploring the job preferences of allied health professionals working with people with disability in rural Australia

Introduction: The uneven distribution of allied health professionals (AHPs) in rural and remote Australia and other countries is well documented. In Australia, like elsewhere, service delivery to rural and remote communities is complicated because relatively small numbers of clients are dispersed over large geographic areas. This uneven distribution of AHPs impacts significantly on the provision of services particularly in areas of special need such as mental health, aged care and disability services. Objective: This study aimed to determine the relative importance that AHPs (physiotherapists, occupational therapists, speech pathologists and psychologists – “therapists”) living in a rural area of Australia and working with people with disability, place on different job characteristics and how these may affect their retention. Methods: A cross-sectional survey was conducted using an online questionnaire distributed to AHPs working with people with disability in a rural area of Australia over a 3-month period. Information was sought about various aspects of the AHPs’ current job, and their workforce preferences were explored using a best–worst scaling discrete choice experiment (BWSDCE). Conditional logistic and latent class regression models were used to determine AHPs’ relative preferences for six different job attributes. Results: One hundred ninety-nine AHPs completed the survey; response rate was 51 %. Of those, 165 completed the BWSDCE task. For this group of AHPs, “high autonomy of practice” is the most valued attribute level, followed by “travel BWSDCE arrangements: one or less nights away per month”, “travel arrangements: two or three nights away per month” and “adequate access to professional development”. On the other hand, the least valued attribute levels were “travel arrangements: four or more nights per month”, “limited autonomy of practice” and “minimal access to professional development”. Except for “some job flexibility”, all other attributes had a statistical influence on AHPs’ job preference. Preferences differed according to age, marital status and having dependent children. Conclusions: This study allowed the identification of factors that contribute to AHPs’ employment decisions about staying and working in a rural area. This information can improve job designs in rural areas to increase retention

Detection of the stroboscopic effect by young adults varying in sensitivity

The advent of LED lighting has renewed concern about the possible visual, neurobiological, and performance and cognition effects of cyclic variations in lighting system luminous flux (temporal light modulation). The stroboscopic visibility measure (SVM) characterises the temporal light modulation signal to predict the visibility of the stroboscopic effect, one of the visual perception effects of temporal light modulation. A SVM of 1 means that the average person would detect the phenomenon 50% of the time. There is little published data describing the population sensitivity to the stroboscopic effect in relation to the SVM, and none focusing on people subject to visual stress. This experiment, conducted in parallel in Canada and France, examined stroboscopic detection for horizontal and vertical moving targets when viewed under commercially available lamps varying in SVM conditions (SVM: ∼0; ∼0.4; ∼0.9; ∼1.4; ∼3.0). As expected, stroboscopic detection scores increased with increasing SVM. For the horizontal task, average scores were lower than the expected 4/8 at ∼0.90, but increased non-linearly with higher SVMs. Stroboscopic detection scores did not differ between people low and high in pattern glare sensitivity, but people in the high-pattern glare sensitivity group reported greater annoyance in the SVM ∼1.4 and ∼3.0 conditions

Systematic challenges for future gravitational wave measurements of precessing binary black holes

The properties of precessing, coalescing binary black holes are presently inferred through comparison with two approximate models of compact binary coalescence. In this work we show these two models often disagree substantially when binaries have modestly large spins ($a\gtrsim 0.4$) and modest mass ratios ($q\gtrsim 2$). We demonstrate these disagreements using standard figures of merit and the parameters inferred for recent detections of binary black holes. By comparing to numerical relativity, we confirm these disagreements reflect systematic errors. We provide concrete examples to demonstrate that these systematic errors can significantly impact inferences about astrophysically significant binary parameters. For the immediate future, parameter inference for binary black holes should be performed with multiple models (including numerical relativity), and carefully validated by performing inference under controlled circumstances with similar synthetic events.Comment: 12 pages, 9 figure

Organised drives will control foxes

Until 1916, there were no foxes known to exist in Western Australia. One was reported as having been seen at Esperance in that year and there are records of a fox being shot at Sandstone in 1917. Within a few years of the first recordings, foxes had spread almost throughout the State, and although bonuses have been paid on over 893,000 fox scalps during the past 30 years, we still have a large and thriving fox population which takes a heavy annual toll of young lambs and poultry besides contributing to insect damage of crops and pastures by the destruction of insectivorous birds

A Bayesian approach to the follow-up of candidate gravitational wave signals

Ground-based gravitational wave laser interferometers (LIGO, GEO-600, Virgo and Tama-300) have now reached high sensitivity and duty cycle. We present a Bayesian evidence-based approach to the search for gravitational waves, in particular aimed at the followup of candidate events generated by the analysis pipeline. We introduce and demonstrate an efficient method to compute the evidence and odds ratio between different models, and illustrate this approach using the specific case of the gravitational wave signal generated during the inspiral phase of binary systems, modelled at the leading quadrupole Newtonian order, in synthetic noise. We show that the method is effective in detecting signals at the detection threshold and it is robust against (some types of) instrumental artefacts. The computational efficiency of this method makes it scalable to the analysis of all the triggers generated by the analysis pipelines to search for coalescing binaries in surveys with ground-based interferometers, and to a whole variety of signal waveforms, characterised by a larger number of parameters.Comment: 9 page