Child–parent interaction in relation to road safety education : Part 2 – main report

• Children and young people are particularly vulnerable road users. • Child pedestrian injury rates are poor compared with the rest of Europe. • The factors that impact on children’s road safety and their capability in traffic are numerous, multi-faceted and complex. • • The systematic review conducted by Cattan et al. (2008) as the initial phase of this study shows that: • parents see themselves as being responsible for developing their children’s road safety awareness and skills; • holding hands is the most common road-crossing interaction between parents and children; • adults rarely make use of road-crossing events to give oral instructions; • few parents and children are consistent in their road-crossing behaviour; • roadside training by volunteer parents for groups of children can lead to significant improvements in children’s road safety behaviour; • belief in fate seems to influence the likelihood of parents using restraints, such as seat belts or car seats, with their children; and • parents’ understanding of the child’s perspective in carrying out road safety tasks and their motivation to actively involve their child in making decisions at the roadside can be improved through training. • Social Cognitive Theory (Bandura, 1986) suggests that the modelling role of parents can make a significant contribution to children’s learning about road use and their development of traffic competence whether or not parents are aware of this. • The main aim of this study was to explore the way parents influence children and young people aged 0–16 years to be safer road users. • This study included children and young people aged 5–16 and parents of children aged 0–16 years old

A Proposed Method for Monitoring U.S. Population Health: Linking Symptoms, Impairments, and Health Ratings

We propose a method of quantifying non-fatal health on a 0-1 QALY scale that details the impact of specific symptoms and impairments and is not based on ratings of counterfactual scenarios. Measures of general health status are regressed on health impairments and symptoms in different domains, using ordered probit and ordinary least squares regression. This yields estimates of their effects analogous to disutility weights, and accounts for complex non-additive relationships. Health measures used include self-rated health status on a 5-point scale, EuroQol 5D (EQ-5D) scores, and ratings of current health using a 0-100 rating scale and a time-tradeoff. Data are from the nationally representative Medical Expenditure Panel Survey (MEPS) year 2002 (N=34,615), with validation in an independent sample from MEPS 2000 (N=21,067) and among 1420 adults age 45-89 in the Beaver Dam Health Outcomes Study. Decrement weights for symptoms and impairments are used to derive estimates of overall health-related quality of life, laying the groundwork for a detailed national summary measure of health. To purchase a copy of the earlier version of this paper, please contact the Working Papers department directly at (617) 588 1405.

The Complexity of Disrupting the Struggling Reader Label: The Potential for Cross-Pollinating Disability Studies and Dynamic Models of Comprehension in Literacy Teacher Education

There have been numerous recent calls in literacy research and teacher education to disrupt the \u27struggling reader\u27 label, but a dearth of empirical studies on the topic. This qualitative analysis explores the complex issues preservice teachers (PSTs) faced as they examined young readers\u27 sense-making through a reading assessment assignment. Our research question asked: How do PSTs challenge and/or reinforce the \u27struggling reader\u27 label as they examine young readers\u27 sense-making? Using a conceptual lens that cross-pollinates dynamic models of reading comprehension with Disability Studies in Education, we look across three cases to identify ways PSTs challenged and reinforced the \u27struggling reader\u27 label as they examined intermediate-grade readers\u27 interactions with texts. Ultimately, we argue that embracing a dynamic model of comprehension--on its own--is an insufficient focus in literacy teacher education in order to disrupt harmful labeling practices in schools

Safe use of symbols in handover documentation for medical teams

Concern has been reported about the safe use of medical abbreviations in documents such as handover sheets and medical notes, especially when information is being communicated between staff of different specialties (BBC 2008, Sheppard et al. 2008). This article describes a study to investigate whether the use of symbols in handover documentation that is shared within and between multidisciplinary teams (MDTs) has similar safety implications. We asked 19 healthcare professionals from a range of specialties to identify 45 different combinations of 38 individual symbols. The symbols and combinations of symbols were extracted from 102 handover sheets taken from 6 different healthcare contexts in 4 London hospitals. Three symbols proposed in Microsoft's Common User Interface guidelines for alert symbols were also included. Results reveal that while some symbols are well understood, many others are either ambiguous or unknown. These results have implications for the safe use of symbols in medical documents, including paper and electronic handover documents and Electronic Patient Records (EPRs), especially where teams comprise individuals from different professional backgrounds, i.e. MDTs. We offer initial suggestions for standardisation and further research

A single blinded randomised controlled pilot trial of prism adaptation for improving self-care in stroke patients with neglect

Prism adaptation has been shown to alleviate the symptoms of unilateral spatial neglect following stroke in single case and small group studies. The purposes of this single blinded pilot randomised controlled trial were to determine the feasibility of delivering prism adaptation treatment in a clinically valid sample and to assess its impact on self-care. Thirty seven right hemisphere stroke patients with unilateral spatial neglect were randomised into either prism adaptation (using 10 dioptre, 6 degree prisms) or sham treatment (using plain glasses) groups. Treatment was delivered each weekday for two weeks. Pointing accuracy, without vision of the finger, was recorded each day before treatment. Outcome was measured, by blinded assessors, four days and eight weeks after the end of treatment using the Catherine Bergego Scale (CBS) and the conventional neuropsychological tests from the Behavioural Inattention Test (BIT). Thirty four patients received treatment: 16 with prisms, 18 sham. Mean compliance was 99% and 97%, respectively. Over the treatment days only the prism treated group showed increased leftward bias in open loop pointing to targets on a touch screen. However, despite the group level changes in pointing behaviour no overall effect of the treatment on self-care or BIT were found. © 2009 Psychology Press

The ConStratO model of handover: a tool to support technology design and evaluation

Handovers are a specific kind of multidisciplinary team meeting. Shift handovers and transfers are both regular features of hospital work but there is currently great variation in how such handovers are conducted, presenting a challenging for those seeking to develop technology to support handover. This paper presents the ConStratO model of handover, which captures aspects of the context that influence how the handover is conducted, a range of different handover strategies relating to different aspects of the handover, and possible outcomes of handover. The model is based on detailed data collection in a range of clinical settings. We present the model as a tool for developing and evaluating technology support for handover