Looking for interaction: quantitative measurement of research utilization by Dutch local health officials

Background: In the Netherlands, local authorities are required by law to develop local health memoranda, based on epidemiological analyses. The purpose of this study was to assess the actual use of these epidemiological reports by municipal health officials and associated factors that affect this use.Method: Based on a conceptual framework, we designed a questionnaire in which we operationalized instrumental, conceptual, and symbolic use, the interaction between researchers and local health officials, and four clusters of barriers in this interaction process. We conducted an internet survey among 155 Dutch local health officials representing 35% of all Dutch municipalities. By means of multiple regression analyses, we gained insight into the related factors for each of the three types of research utilization.Results: The results show that local health officials use epidemiological research more often in a conceptual than an instrumental or symbolic way. This can be explained by the complexity of the local policy process which is often linked to policies in other areas, and the various policy actors involved. Conceptual use was statistically associated with a presentation given by the epidemiologist during the policy process, the presence of obstructions regarding the report's accessibility, and the local official's personal belief systems and interests originating from different professional values and responsibilities. Instrumental and symbolic use increased with the involvement of local officials in the research process.Conclusions: The results of this study provide a partial solution to understanding and influencing research utilization. The quantitative approach underpins earlier qualitative findings on this topic. The outcomes suggest that RPHS epidemiologists can use different strategies to improve research utilization. 'Blurring the boundaries', and the enhancement of interfaces between epidemiologists and local health officials, like direct interactions into each other's work processes, is expected to create better possibilities for optimizing research use

Lessons learnt from OS operations

This report focuses on the specific lessons learnt from the data collection in UDRIVE, derived from the difficulties encountered by the operation sites and the solutions applied to mitigate the problems where possible. These lessons learnt concern all aspects of the data collection. Such lessons learnt will provide useful insights for any future naturalistic driving study or field operational test. During the project, the operation sites provided three feedbacks related to their lessons learnt. These reports covered the pilot phase, the first six months of data collection and the last one at the end of the data collection. This iterative process gathered 71 lessons learnt. After the data collection, the final questionnaire was filled in by the participants and they provided with some interesting feedback. Most important lesssons learned were: Selecting only one or two vehicle types contributed to easier instrumentation of the Data Acquisaition System to the vehicles. However, this decision put some constraints in the recruitment of participants due the different fleet of vehicles across the European countries, especially some models were not very common in certain countries. One of the common problems across the Operation Sites (OS) was the participants’ drop-outs. The main lesson learnt was that it is important to maintain a set of replacement participants until the end of the project to cover any eventual drop out. Data protection was one of the most challenging aspects of the project. Dealing with images and personal data create some difficulties between the partners and their country data protection agencies. From the participants’ questionnaires, it was noted that even if they felt comfortable, their driving behaviour was somehow affected. Hide the equipment, and especially the cameras, the best it can be will help the participants drive normally. They also were pleased to have all the information beforehand and happy when dates, deadlines, incentives, etc., were respected as explained to them. When involving any external supplier (e.g. rental vehicle company, garage, equipment supplier, etc.). the role, responsibilities, response time, liability, etc., of every supplier have to be defined in more detail to avoid misunderstandings, delays or ambiguities. Developing as early as possible a very detailed and realistic plan of action allows to avoid delays, overspending, save resources and to achieve the project objectives

Overview of OS preparation, sample characteristics and piloting

The deliverable presents the preparation for data collection for each OS. It elaborates on prerequisites for each OS, in terms of logistics, documentation, and instrumentation. Moreover, it details the pilot test procedures to dictate the experimentation. Lastly, the feedback for each OS is reported through a checklist in all possible contexts of the trial and also through reporting of issues

Operation sites description and planning

This deliverable presents the seven operating sites (OS): Austria (PTWs, KFV), France (Cars, CEESAR), Germany (Cars, DLR), Netherlands (Trucks, TNO), Poland (Cars, IBDIM), Spain (PTWs, CIDAUT), UK (Cars, UNIVLEEDS/LOUGHBOROU). Each OS determines its geographical coverage and personnel responsible for trial operation. They confirm compliance with the global schedule and with site specific schedules. Further planning issues consider participant liaison strategies, collection of subjective data, data acquisition system installation and maintenance procedure, data collection and management, data and operational quality assurance, end of trial management and ethical ap-proval and legal issues. All OS planned the trials following the common guidelines, but also accommodated the trial preparation to local circumstances

Utilization of a population health survey in policy and practice: a case study

BackgroundThere is growing interest by funding bodies and researchers in assessing the impact of research on real world policy and practice. Population health monitoring surveys provide an important source of data on the prevalence and patterns of health problems, but few empirical studies have explored if and how such data is used to influence policy or practice decisions. Here we provide a case study analysis of how the findings from an Australian population monitoring survey series of children&rsquo;s weight and weight-related behaviors (Schools Physical Activity and Nutrition Survey (SPANS)) have been used, and the key facilitators and barriers to their utilization.MethodsData collection included semi-structured interviews with the chief investigators (n = 3) and end-users (n = 9) of SPANS data to explore if, how and under what circumstances the survey findings had been used, bibliometric analysis and verification using documentary evidence. Data analysis involved thematic coding of interview data and triangulation with other data sources to produce case summaries of policy and practice impacts for each of the three survey years (1997, 2004, 2010). Case summaries were then reviewed and discussed by the authors to distil key themes on if, how and why the SPANS findings had been used to guide policy and practice.ResultsWe found that the survey findings were used for agenda setting (raising awareness of issues), identifying areas and target groups for interventions, informing new policies, and supporting and justifying existing policies and programs across a range of sectors. Reported factors influencing use of the findings were: i) the perceived credibility of survey findings; ii) dissemination strategies used; and, iii) a range of contextual factors.ConclusionsUsing a novel approach, our case study provides important new insights into how and under what circumstances population health monitoring data can be used to influence real world policy and practice. The findings highlight the importance of population monitoring programs being conducted by independent credible agencies, researchers engaging end-users from the inception of survey programs and utilizing existing policy networks and structures, and using a range of strategies to disseminate the findings that go beyond traditional peer review publications.<br /

Linkages Over Time Between Adolescents' Relationships with Parents and Friends

This 5-wave longitudinal study examines linkages over time between adolescents’ perceptions of relationships with parents and friends with respect to support, negative interaction, and power. A total of 575 early adolescents (54.1% boys) and 337 middle adolescents (43.3% boys) participated. Path analyses mainly showed bidirectional associations between adolescents’ perceptions of parent–adolescent relationships and friendships with a predominantly stronger influence from parent–adolescent relationships to friendships than vice versa in early to middle adolescence and an equal mutual influence in middle to late adolescence. The findings support the theoretical ideas that perceptions of relationships with parents generalize to perceptions of relationships with friends and that relationship skills and principles of adolescent friendships generalize to relationships with parents. Furthermore, the results indicate that the influence of parents decreases, whereas the influence of friends increases, and that both social worlds become equally important and overlapping towards late adolescence

Roles of residues in the interface of transient protein-protein complexes before complexation

Transient protein-protein interactions play crucial roles in all facets of cellular physiology. Here, using an analysis on known 3-D structures of transient protein-protein complexes, their corresponding uncomplexed forms and energy calculations we seek to understand the roles of protein-protein interfacial residues in the unbound forms. We show that there are conformationally near invariant and evolutionarily conserved interfacial residues which are rigid and they account for ∼65% of the core interface. Interestingly, some of these residues contribute significantly to the stabilization of the interface structure in the uncomplexed form. Such residues have strong energetic basis to perform dual roles of stabilizing the structure of the uncomplexed form as well as the complex once formed while they maintain their rigid nature throughout. This feature is evolutionarily well conserved at both the structural and sequence levels. We believe this analysis has general bearing in the prediction of interfaces and understanding molecular recognition

Expression of the VEGF and angiopoietin genes in endometrial atypical hyperplasia and endometrial cancer

Angiogenesis is critical for the growth and metastasis of endometrial cancer and is therefore an important therapeutic target. Vascular endothelial growth factor-A (VEGF-A) is a key molecule in angiogenesis, but the identification of related molecules and the angiopoietins suggests a more complex picture. We investigated the presence of transcripts for VEGF-A, VEGF-B, VEGF-C, VEGF-D, Angiopoietin-1 and Angiopoietin-2 in benign endometrium, atypical complex hyperplasia (ACH) and endometrioid endometrial carcinoma using in situ hybridisation. We confirmed the presence of VEGF-A mRNA in the epithelial cells of cancers examined (13 out of 13), but not in benign endometrium or ACH. We also demonstrate, using quantitative polymerase chain reaction, that levels of VEGF-B mRNA are significantly lower in endometrial cancer than benign endometrium. We conclude that loss of VEGF-B may contribute to the development of endometrial carcinoma by modulating availability of receptors for VEGF-A

On the analysis of the contact angle for impacting droplets using a polynomial fitting approach

ractical considerations on the measurement of the dynamic contact angle and the spreading diameter of impacting droplets are discussed in this paper. The contact angle of a liquid is commonly obtained either by a polynomial or a linear fitting to the droplet profile around the triple phase point. Previous works have focused on quasi-static or sessile droplets, or in cases where inertia does not play a major role on the contact angle dynamics. Here, we study the effect of droplet shape, the order of the fitting polynomial, and the fitting domain, on the measurement of the contact angle on various stages following droplet impact where the contact line is moving. Our results, presented in terms of the optical resolution and the droplet size, show that a quadratic fitting provides the most consistent results for a range of various droplet shapes. As expected, our results show that contact angle values are less sensitive to the fitting conditions for the cases where the droplet can be approximated to a spherical cap. Our experimental conditions include impact events with liquid droplets of different sizes and viscosities on various substrates. In addition, validating past works, our results show that the maximum spreading diameter can be parameterised by the Weber number and the rapidly advancing contact angle