Transforming In-school Suspension into a Positive Tool for Changing Behavior

The presentation will provide an overview of a secondary in-school suspension program using a positive behavior intervention and supports model that includes an evidence-based social emotional behavior curriculum effective in targeting at-risk students. Structuring in-school suspension programs in a way that provides students with the means to change poor behaviors when presented with the opportunity to do so is a viable solution to classroom behavior problems plaguing secondary schools today. This presentation will be valuable to education leaders who desire to transform their ISS program into one that reduces recidivism rates and makes academics and behavior modification a priority. The presenters will also discuss ideas for using this social emotional learning curriculum in the elementary setting

‘Design against crime’: awareness in design education

Whilst various social issues, such as ecological concerns, ageing and disability have received increasing attention within the design curriculum over recent years, crime and crime reduction issues have yet to be addressed to a similar extent. Informed design can be used effectively as a tool for reducing crime associated with environments, products and services through designing in crime reduction measures during the initial stages of the design process. This paper reports on research carried out as part of the Government's Crime Reduction Programme, looking at the topic of design against crime, assessing current awareness of crime amongst professional and student designers, and identifying methods to bring crime reduction more prominently into the design forum. The current awareness and inclusion of crime reduction in design education was explored by means of a questionnaire circulated to design course leaders, with follow-up in-depth interviews with key respondents. From the research gathered, ideas and recommendations are presented as to how crime reduction can be introduced as an integral part of design education

Independent evaluation of ARMED service: final report.

ARMED (HAS Technology, Lichfield, UK) is a falls prevention technology that combines a wrist-worn activity tracker with predictive analytics and machine learning to enable early intervention. Data from the tracker is augmented by weekly grip strength and body composition measurements. ARMED-in-a-box is a streamlined version of ARMED that does not use the grip strength or body composition measures, rolled-out in response to the COVID-19 pandemic. This independent evaluation was commissioned by the Digital Health and Care Innovation Centre and conducted by an interdisciplinary team from Robert Gordon University, the University of Aberdeen, and NHS Grampian. The purpose of the evaluation was to inform the potential for scalability of ARMED within the Scottish digital health and care context, and specifically to analyse and appraise the effectiveness of the current ARMED service and business models, aligning with the national technology enabled care (TEC) programme's existing test of change (TOC) activity

Moving on: greener travel for the UK

Transport is the highest emitting sector in the UK, despite the rise in electric vehicles (EVs). To reduce the number of miles driven by car, we must travel differently, using more public transport, walking and cycling. This move away from cars to other types of transport is known as ‘modal shift’. To achieve this, it is important to understand the intersections of the UK’s transport system, how the public responds to changes in policy and what the costs to the government or the public might be. We worked with academics at the University of Cardiff to build a ‘modal shift model’ which allowed us to experiment with combinations of measures to reduce car miles driven, such as improving public transport or changing speed limits. Its outputs show the impact a mix of policies could have, the cost to the government and users, and the revenue the government might expect to gain. Using this, we developed a set of scenarios, each designed to cut total UK car mileage by 25 per cent. This report showcases alternative transport futures decision makers could opt for to meet climate targets and the considerations to be taken into account when designing modal shift policies

Diagnosis and management of UTI in primary care settings—A qualitative study to inform a diagnostic quick reference tool for women under 65 years

Background: To inform interventions to improve antimicrobial use in urinary tract infections (UTIs) and contribute to a reduction in Escherichia coli bloodstream infection, we explored factors influencing the diagnosis and management of UTIs in primary care. Design: Semi-structured focus groups informed by the Theoretical Domains Framework. Setting: General practice (GP) surgeries in two English clinical commissioning groups (CCGs), June 2017 to March 2018. Participants: A total of 57 GP staff within 8 focus groups. Results: Staff were very aware of common UTI symptoms and nitrofurantoin as first-line treatment, but some were less aware about when to send a urine culture, second-line and non-antibiotic management, and did not probe for signs and symptoms to specifically exclude vaginal causes or pyelonephritis before prescribing. Many consultations were undertaken over the phone, many by nurse practitioners, and followed established protocols that often included urine dipsticks and receptionists. Patient expectations increased use of urine dipsticks, and immediate and 5 days courses of antibiotics. Management decisions were also influenced by patient co-morbidities. No participants had undertaken recent UTI audits. Patient discussions around antibiotic resistance and back-up antibiotics were uncommon compared to consultations for respiratory infections. Conclusions: Knowledge and skill gaps could be addressed with education and clear, accessible, UTI diagnostic and management guidance and protocols that are also appropriate for phone consultations. Public antibiotic campaigns and patient-facing information should cover UTIs, non-pharmaceutical recommendations for "self-care", prevention and rationale for 3 days antibiotic courses. Practices should be encouraged to audit UTI management

Does electronic consent improve the logistics and uptake of hpv vaccination in adolescent girls? A mixed methods theory informed evaluation of an intervention

Abstract Background Technological solutions may improve the logistics of obtaining parental consent in school-based immunisation programmes. In 2018/19 a health care organisation in London, England, piloted an electronic consent intervention in the adolescent girls’ HPV vaccination programme. We conducted a mixed-methods evaluation to examine the usability and acceptability of the intervention and assess its impact on consent form returns and HPV vaccine uptake. Methods The intervention was implemented in 14 secondary schools in seven South London boroughs. Each e-consent school was matched with a school that used standard paper consent. Matching was based on location and the proportion of students: i. with English as a second language, ii. receiving free school meals (socio-economic status proxy). Consent form return rates and HPV vaccine uptake were compared quantitatively between intervention and matched schools. Data from immunisation session observations (n=7), school feedback forms (n=14), individual and group interviews with implementers (n=8), parents and adolescents (n=12) and a focus group discussion with adolescents was analysed thematically to document user’s experiences investigate the implementation of the intervention. Results HPV vaccination uptake did not differ between e-consent and matched paper consent schools, but timely consent form return was significantly lower in the e-consent schools (73.3% (n=11) vs 91.6% (n=11), p=0.008). The transition to using the system was not straightforward, whilst schools and staff understood the potential benefits, they found it difficult to adapt to new ways of working which removed some level of control from schools. Part of the reason for lower consent form return in e-consent schools was that some parents found the intervention difficult to access and use. Adolescents highlighted the potential for e-consent interventions to by-pass their information needs. Conclusions The e-consent intervention did not improve consent form return or vaccine uptake due to challenges encountered in transitioning to a new way of working. New technologies require embedding before they become incorporated in everyday practice. The intervention is undergoing further iterative development to improve its usability, ensure schools are appropriately involved and adolescents receive tailored immunisation information. A re-evaluation once stakeholders are accustomed to e-consent may be required to understand its impact.</jats:p

Hot Interstellar Gas and Stellar Energy Feedback in the Antennae Galaxies

We have analyzed Chandra archival observations of the Antennae galaxies to study the distribution and physical properties of its hot interstellar gas. Eleven distinct diffuse X-ray emission regions are selected according to their underlying interstellar structures and star formation activity. The X-ray spectra of these regions are used to determine their thermal energy contents and cooling timescales. Young star clusters in these regions are also identified and their photometric measurements are compared to evolutionary stellar population synthesis models to assess their masses and ages. The cluster properties are then used to determine the stellar wind and supernova energies injected into the ISM. Comparisons between the thermal energy in the hot ISM and the expected stellar energy input show that young star clusters are sufficient to power the X-ray-emitting gas in some, but not all, active star formation regions. Super-star clusters, with masses >= 1x10^5 M_sol, heat the ISM, but the yield of hot interstellar gas is not directly proportional to the cluster mass. Finally, there exist diffuse X-ray emission regions which do not show active star formation or massive young star clusters. These regions may be powered by field stars or low-mass clusters formed within the last ~100 Myr.Comment: 36 pages, 6 figures, 8 tables, 2 appendices, to appear in the Astrophysical Journal, April 20 issu

Does electronic consent improve the logistics and uptake of HPV vaccination in adolescent girls? A mixed-methods theory informed evaluation of a pilot intervention.

OBJECTIVES: To evaluate the usability and acceptability of an electronic consent pilot intervention for school-based immunisations and assess its impact on consent form returns and human papilloma virus (HPV) vaccine uptake. DESIGN: Mixed-methods theory-informed study applying qualitative methods to examine the usability and acceptability of the intervention and quantitative methods to assess its impact. SETTING AND PARTICIPANTS: The intervention was piloted in 14 secondary schools in seven London boroughs in 2018. Intervention schools were matched with schools using paper consent based on the proportion of students with English as a second language and students receiving free school meals. Participants included nurses, data managers, school-link staff, parents and adolescents. INTERVENTIONS: An electronic consent portal where parents could record whether they agreed to or declined vaccination, and nurses could access data to help them manage the immunisation programme. PRIMARY AND SECONDARY OUTCOME MEASURES: Comparison of consent form return rates and HPV vaccine uptake between intervention and matched schools. RESULTS: HPV vaccination uptake did not differ between intervention and matched schools, but timely consent form return was significantly lower in intervention schools (73.3% vs 91.6%, p=0.008). The transition to using electronic consent was not straightforward, while schools and staff understood the potential benefits, they found it difficult to adapt to new ways of working which removed some level of control from schools. Reasons for lower consent form return in e-consent schools included difficulties encountered by some parents in accessing and using the intervention. Adolescents highlighted the potential for electronic consent to by-pass their information needs. CONCLUSIONS: The pilot intervention did not improve consent form return or vaccine uptake due to challenges encountered in transitioning to new working practice. New technologies require embedding before they become incorporated in everyday practice. A re-evaluation once stakeholders are accustomed with electronic consent may be required to understand its impact

A UK survey of COVID‐19 related social support closures and their effects on older people, people with dementia, and carers

Abstract Objectives The aim of this national survey was to explore the impact of COVID‐19 public health measures on access to social support services and the effects of closures of services on the mental well‐being of older people and those affected by dementia. Methods A UK‐wide online and telephone survey was conducted with older adults, people with dementia, and carers between April and May 2020.The survey captured demographic and postcode data, social support service usage before and after COVID‐19 public health measures, current quality of life, depression, and anxiety. Multiple linear regression analysis was used to explore the relationship between social support service variations and anxiety and well‐being. Results 569 participants completed the survey (61 people with dementia, 285 unpaid carers, and 223 older adults). Paired samples t‐tests and X2‐tests showed that the mean hour of weekly social support service usage and the number of people having accessed various services was significantly reduced post COVID‐19. Multiple regression analyses showed that higher variations in social support service hours significantly predicted increased levels of anxiety in people with dementia and older adults, and lower levels of mental well‐being in unpaid carers and older adults. Conclusions Being unable to access social support services due to COVID contributed to worse quality of life and anxiety in those affected by dementia and older adults across the UK. Social support services need to be enabled to continue providing support in adapted formats, especially in light of continued public health restrictions for the foreseeable future. This article is protected by copyright. All rights reserved