Effect of Personalized Incentives on Dietary Quality of Groceries Purchased A Randomized Crossover Trial

Importance Many factors are associated with food choice. Personalized interventions could help improve dietary intake by using individual purchasing preferences to promote healthier grocery purchases. Objective To test whether a healthy food incentive intervention using an algorithm incorporating customer preferences, purchase history, and baseline diet quality improves grocery purchase dietary quality and spending on healthy foods. Design, Setting, and Participants This was a 9-month randomized clinical crossover trial (AB–BA) with a 2- to 4-week washout period between 3-month intervention periods. Participants included 224 loyalty program members at an independent Rhode Island supermarket who completed baseline questionnaires and were randomized from July to September 2018 to group 1 (AB) or group 2 (BA). Data analysis was performed from September 2019 to May 2020. Intervention Participants received personalized weekly coupons with nutrition education during the intervention period (A) and occasional generic coupons with nutrition education during the control period (B). An automated study algorithm used customer data to allocate personalized healthy food incentives to participant loyalty cards. All participants received a 5% grocery discount. Main Outcomes and Measures Grocery Purchase Quality Index–2016 (GPQI-16) scores (range, 0-75, with higher scores denoting healthier purchases) and percentage spending on targeted foods were calculated from cumulative purchasing data. Participants in the top and bottom 1% of spending were excluded. Paired t tests examined between-group differences. Results The analytical sample included 209 participants (104 in group 1 and 105 in group 2), with a mean (SD) age of 55.4 (14.0) years. They were predominantly non-Hispanic White (193 of 206 participants [94.1%]) and female (187 of 207 participants [90.3%]). Of 161 participants with income data, 81 (50.3%) had annual household incomes greater than or equal to $100 000. Paired t tests showed that the intervention increased GPQI-16 scores (between-group difference, 1.06; 95% CI, 0.27-1.86; P = .01) and percentage spending on targeted foods (between-group difference, 1.38%; 95% CI, 0.08%-2.69%; P = .04). During the initial intervention period, group 1 (AB) and group 2 (BA) had similar mean (SD) GPQI-16 scores (41.2 [6.6] vs 41.0 [7.5]) and mean (SD) percentage spending on targeted healthy foods (32.0% [10.8%] vs 31.0% [10.5%]). During the crossover intervention period, group 2 had a higher mean (SD) GPQI-16 score than group 1 (42.9 [7.7] vs 41.0 [6.8]) and mean (SD) percentage spending on targeted foods (34.0% [12.1%] vs 32.0% [13.1%]). Conclusions and Relevance This pilot trial demonstrated preliminary evidence for the effectiveness of a novel personalized healthy food incentive algorithm to improve grocery purchase dietary quality. Trial Registration ClinicalTrials.gov Identifier: NCT0374805

Isospin-mixing corrections for fp-shell Fermi transitions

Isospin-mixing corrections for superallowed Fermi transitions in {\it fp}-shell nuclei are computed within the framework of the shell model. The study includes three nuclei that are part of the set of nine accurately measured transitions as well as five cases that are expected to be measured in the future at radioactive-beam facilities. We also include some new calculations for $^{10}$C. With the isospin-mixing corrections applied to the nine accurately measured $ft$ values, the conserved-vector-current hypothesis and the unitarity condition of the Cabbibo-Kobayashi-Maskawa (CKM) matrix are tested.Comment: 13 pages plus five tables. revtex macro

On the existence of stable seasonally varying Arctic sea ice in simple models

Within the framework of lower order thermodynamic theories for the climatic evolution of Arctic sea ice we isolate the conditions required for the existence of stable seasonally-varying solutions, in which ice forms each winter and melts away each summer. This is done by constructing a two-season model from the continuously evolving theory of Eisenman and Wettlaufer (2009) and showing that seasonally-varying states are unstable under constant annual average short-wave radiative forcing. However, dividing the summer season into two intervals (ice covered and ice free) provides sufficient freedom to stabilize seasonal ice. Simple perturbation theory shows that the condition for stability is determined by when the ice vanishes in summer and hence the relative magnitudes of the summer heat flux over the ocean versus over the ice. This scenario is examined within the context of greenhouse gas warming, as a function of which stability conditions are discerned.Comment: 11 pages, 6 figures, 1 tabl

The Assessment of Reliability Under Range Restriction: A Comparison of α, ω, and Test–Retest Reliability for Dichotomous Data

Though much research and attention has been directed at assessing the correlation coefficient under range restriction, the assessment of reliability under range restriction has been largely ignored. This article uses item response theory to simulate dichotomous item-level data to assess the robustness of KR-20 (α), ω, and test–retest under varying selection ratios. These estimators, both corrected and uncorrected for range restriction, were compared in terms of both bias and precision. Test–retest reliability was usually the best estimator of reliability across a variety of conditions. Only under indirect range restriction did KR-20 and ω performed well. All estimators suffered imprecision as a function of range restriction, above and beyond the reduction in sample size. Based on the results, a set of recommendations are proposed.Yeshttps://us.sagepub.com/en-us/nam/manuscript-submission-guideline

Large-basis shell-model calculation of 10C->10B Fermi matrix element

We use a $4\hbar\Omega$ shell-model calculation with a two-body effective interaction derived microscopically from the Reid93 potential to calculate the isospin-mixing correction for the 10C->10B superallowed Fermi transition. The effective interaction takes into account the Coulomb potential as well as the charge dependence of T=1 partial waves. Our results suggest the isospin- mixing correction $\delta_{C}\approx 0.1$, which is compatible with previous calculations. The correction obtained in those calculations, performed in a $0\hbar\Omega$ space, was dominated by deviation from unity of the radial overlap between the converted proton and the corresponding neutron. In the present calculation this effect is accommodated by the large model space. The obtained $\delta_{C}$ correction is about a factor of four too small to obtain unitarity of the Cabibbo-Kobayashi-Maskawa matrix with the present experimental data.Comment: 14 pages. REVTEX. 3 PostScript figure

'Magic coins' and 'magic squares': the discovery of astrological sigils in the Oldenburg Letters

Enclosed in a 1673 letter to Henry Oldenburg were two drawings of a series of astrological sigils, coins and amulets from the collection of Strasbourg mathematician Julius Reichelt (1637–1719). As portrayals of particular medieval and early modern sigils are relatively rare, this paper will analyse the role of these medals in medieval and early modern medicine, the logic behind their perceived efficacy, and their significance in early modern astrological and cabalistic practice. I shall also demonstrate their change in status in the late seventeenth century from potent magical healing amulets tied to the mysteries of the heavens to objects kept in a cabinet for curiosos. The evolving perception of the purpose of sigils mirrored changing early modern beliefs in the occult influences of the heavens upon the body and the natural world, as well as the growing interests among virtuosi in collecting, numismatics and antiquities

Improving the spatial distribution of modeled Arctic sea ice thickness

The spatial distribution of ice thickness/draft in the Arctic Ocean is examined using a sea ice model. A comparison of model predictions with submarine observations of sea ice draft made during cruises between 1987 and 1997 reveals that the model has the same deficiencies found in previous studies, namely ice that is too thick in the Beaufort Sea and too thin near the North Pole. We find that increasing the large scale shear strength of the sea ice leads to substantial improvements in the model's spatial distribution of sea ice thickness, and simultaneously improves the agreement between modeled and ERS-derived 1993–2001 mean winter ice thickness

Conceptual learning : the priority for higher education

The common sense notion of learning as the all-pervasive acquisition of new behaviour and knowledge, made vivid by experience, is an incomplete characterisation, because it assumes that the learning of behaviour and the learning of knowledge are indistinguishable, and that acquisition constitutes learning without reference to transfer. A psychological level of analysis is used to argue that conceptual learning should have priority in higher education