5,093 research outputs found

    Evaluating the articulation of programme theory in practice as observed in Quality Improvement initiatives

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    Background: The Action-Effect Method(AEM) was co-developed by NIHR CLAHRC Northwest London (CLAHRC NWL) researchers and QI practitioners, building on Driver Diagrams(DD). This study aimed to determine AEM effectiveness in terms of technical aspects (how diagrams produced in practice compared with theoretical ideals) and social aspects (how engagement with the method related to social benefits). Methods Diagrams were scored on criteria developed on theoretical ideals of programme theory. 65 programme theory diagrams were reviewed (21 published Driver Diagrams (External DDs), 22 CLAHRC NWL Driver Diagrams (Internal DDs), and 21 CLAHRC NWL Action-Effect Diagrams(AEDs)). Social functions were studied through ethnographic observation of frontline QI teams in AEM sessions facilitated by QI experts. Qualitative analysis used inductive and deductive coding. Results ANOVA indicated the AEM significantly improved the quality of programme theory diagrams over Internal and External DDs on an average of 5 criteria from an 8-point assessment. Articulated aims were more likely to be patient-focused and high-level in AEDs than DDs. The cause/effect relationships from intervention to overall aim also tended to be clearer and were more likely than DDs to contain appropriate measure concepts. Using the AEM also served several social functions such as facilitating dialogue among multidisciplinary teams, and encouraging teams to act scientifically and pragmatically about planning and measuring QI interventions. Implications: The Action-Effect Method developed by CLAHRC NWL resulted in improvements over Driver Diagrams in articulating programme theory, which has wide-ranging benefits to quality improvement, including encouraging broad multi-disciplinary buy-in to clear aims and pre-planning a rigorous evaluation strategy

    Host Selection of the giant willow aphid (Tuberolachnus salignus)

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    The giant willow aphid [Tuberolachnus salignus (Gmelin)] has recently become noteworthy as a potential pest species due to the increased uptake of willow, its host-plant, for use in growing biomass for energy production. In this paper we describe host selection studies of T. salignus on short rotation coppice (SRC) willow varieties in laboratory bioassays and field experiments. In laboratory olfactometry tests, T. salignus was significantly attracted to certain SRC willow varieties, but not to others. Field trials during 2007 and 2008 showed that T. salignus infestation levels varied significantly on different SRC willow varieties and that levels are highest on the varieties to which they are most strongly attracted in the laboratory bioassays

    Pest-predator spatial relationships in winter rape: implications for integrated crop management

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    Douglas Warner, Les J Allen-Williams, Andrew W Ferguson, and Ingrid H Williams, 'Pest–predator spatial relationships in winter rape: implications for integrated crop management', Pest Management Science, Vol. 56 (11): 977-982, November 2000, doi: 10.1002/1526-4998(200011)56:113.0.CO;2-U. Copyright © 2000 Society of Chemical IndustryThe brassica pod midge (Dasineura brassicae) is an important and widespread pest of winter and spring oilseed rape throughout Europe. Pods infested by D brassicae larvae split prematurely, releasing seeds, and the larvae drop to the soil into which they burrow to pupate. At this stage in its lifecycle D brassicae is potentially vulnerable to predation by carabid beetles foraging on the soil surface. This is the first study in the UK to focus on carabid beetles as predators of D brassicae in the oilseed rape crop. The spatio-temporal distributions of larvae of D brassicae dropping to the soil from the crop canopy and of adult carabid beetles active on the soil surface were analysed in two consecutive years. Insect samples were collected from spatially referenced sampling points across each crop. Counts of insects were mapped and analysed, and the degree of spatial association between predator and prey determined using Spatial Analysis by Distance Indices (SADIE). Carabid species abundant and active during peak drop of first generation D brassicae larvae included Agonum dorsale, Amara similata, Harpalus rufipes and Nebria brevicollis. The larvae of D brassicae had a marked edge distribution within the crop. SADIE analysis revealed significant spatial association between larvae of D brassicae and adult H rufipes (P <0.05) in 1998, but not with adults of A dorsale, A similata or N brevicollis. In 1999, there was strong spatial association only between larvae of D brassicae and adult A dorsale (P <0.01). Aggregation of N brevicollis adults occurred in some areas of greatest D brassicae larval counts in 1999, but overall spatial association was not signi®cant. The distributions are discussed in terms of their relevance to integrated crop management (ICM) strategies and spatial targeting of insecticides.Peer reviewe

    How does mode of travel affect risks posed to other road users? An analysis of English road fatality data, incorporating gender and road type

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    Background Most analysis of road injuries examines the risk experienced by people using different modes of transport, for instance, pedestrian fatalities per-head or per-km. A small but growing field analyses the impact that the use of different transport modes has on other road users, for instance, injuries to others per-km driven. Methods This paper moves the analysis of risk posed to others forward by comparing six different vehicular modes, separating road types (major vs minor roads in urban vs rural settings). The comparison of risk posed by men and women for all these modes is also novel. Results Per-vehicle kilometre, buses and lorries pose much the highest risk to others, while cycles pose the lowest. Motorcycles pose a substantially higher per-km risk to others than cars. The fatality risk posed by cars or vans to ORUs per km is higher in rural areas. Risk posed is generally higher on major roads, although not in the case of lorries, suggesting a link to higher speeds. Men pose higher per-km risk to others than women for all modes except buses, as well as being over-represented among users of the most dangerous vehicles. Conclusions Future research should examine more settings, adjust for spatial and temporal confounders, or examine how infrastructure or route characteristics affect risk posed to others. Although for most victims the other vehicle involved is a car, results suggest policy-makers should also seek to reduce disproportionate risks posed by the more dangerous vehicles, for instance, by discouraging motorcycling. Finally, given higher risk posed to others by men across five of six modes analysed, policy-makers should consider how to reduce persistent large gender imbalances in jobs involving driving
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