scholarly journals A case of misalignment: the perspectives of local and national decision-makers on the implementation of psychological treatment by telephone in the Improving Access to Psychological Therapies Service

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Kelly Rushton ◽  
Claire Fraser ◽  
Judith Gellatly ◽  
Helen Brooks ◽  
Peter Bower ◽  
...  
Keyword(s):  
Focus Group ◽  
Best Practice ◽  
Psychological Treatment ◽  
Cost Savings ◽  
Clinical Effectiveness ◽  
Service Level ◽  
Patient Choice ◽  
Decision Makers ◽  
Normalisation Process Theory ◽  
Access To Treatment

Abstract Background Psychological treatment delivered by telephone is recommended by the National Institute for Health and Care Excellence (NICE) for mild to moderate depression and anxiety, and forms a key part of the Improving Access to Psychological Therapy (IAPT) programme in the UK. Despite evidence of clinical effectiveness, patient engagement is often not maintained and psychological wellbeing practitioners (PWPs) report lacking confidence and training to deliver treatment by telephone. This study aimed to explore the perspectives of professional decision makers (both local and national) on the barriers and facilitators to the implementation of telephone treatment in IAPT. Methods Sixteen semi-structured qualitative telephone interviews and one focus group were carried out with decision makers (n = 21) who were involved locally and nationally in policy, practice and research. The interviews and focus group were coded thematically, and then mapped onto the four core constructs of Normalisation Process Theory (NPT). Results The use of telephone for psychological treatment was universally recognised amongst participants as beneficial for improving patient choice and access to treatment. However, at service level, motives for the implementation of telephone treatments are often misaligned with national objectives. Pressure to meet performance targets has become a key driver for the use of telephone treatment, with promises of increased efficiency and cost savings. These service-focussed objectives challenge the integration of telephone treatments, and PWP acceptance of telephone treatments as non-inferior to face-to-face. Ambivalence among a workforce often lacking the confidence to deliver telephone treatments leads to reluctance among PWPs to ‘sell’ treatments to a patient population who are not generally expecting treatment in this form. Conclusions Perceptions of a need to ‘sell’ telephone treatment in IAPT persist from top-level decision makers down to frontline practitioners, despite their conflicting motives for the use of telephone. The need for advocacy to highlight the clinical benefit of telephone treatment, along with adequate workforce support and guidance on best practice for implementation is critical to the ongoing success and sustainability of telephone treatment in primary care mental health programmes.

Assessing economics of treatments for gynecological cancer where clinical effectiveness meets value for money

2004 ◽  
Vol 14 (5) ◽  
pp. 762-771 ◽  
Author(s):  
B. Stoykova ◽  
R. Dowie ◽  
H. C. Kitchener
Keyword(s):  
Clinical Trials ◽  
Cost Effectiveness ◽  
Economic Analysis ◽  
Gynecological Cancer ◽  
Previous Treatment ◽  
Clinical Effectiveness ◽  
Decision Makers ◽  
Value For Money ◽  
Access To Treatment ◽  
Economic Methods

During the last 10 years, the management of gynecological cancer has been undergoing a great deal of change. This is due to a drive to reduce ineffective treatment and associated morbidity while at the same time maximizing the benefits of currently available treatment. The foundation for this approach has been high-quality clinical trials which have been performed in increasing numbers. These trials can provide strong evidence that treatments are equivalent or that a new drug adds superiority to previous treatment.The access that women have to the most effective forms of treatment often depends on the availability of healthcare resources and their affordability within the healthcare system. Healthcare decision makers increasingly require not just clinical effectiveness of treatments but also cost-effectiveness to be demonstrated. While health economic methods have been applied to many forms of cancer treatment and screening, there have been very few rigorous economic studies performed in gynecological cancer.This article discusses how economic analysis can be incorporated into clinical trials and how it can provide the sort of value for money determination that payers of healthcare are now requiring. Economic analysis may add a little to the cost of trials, but in the end, it may increase access to treatment by convincing decision makers of cost-effectiveness.

71. Are video interviews a good alternative to in person interviews in assessing international applicants' skills?

2007 ◽  
Vol 30 (4) ◽  
pp. 67
Author(s):  
M. Alameddine ◽  
K. Imrie ◽  
S. Akers ◽  
S. Verma
Keyword(s):  
Nursing Education ◽  
Pilot Study ◽  
Psychological Treatment ◽  
Cost Savings ◽  
Good Alternative ◽  
Average Score ◽  
Global Rating ◽  
Problem Solving Skills ◽  
Global Satisfaction ◽  
Personal Connection

We developed and administered two questionnaires to assess the interview experience of both interviewers and applicants during postgraduate medical selection interviews. Using a 5 point likert scale, the questionnaires assessed three areas (1) ability to show/assess communication, interpersonal and problem solving skills; (2) ability to know the other side well and (3) level of comfort with the interview. Interviewers and applicants were asked to provide a global rating for the interview. The questionnaires were administered to both candidates and applicants from 6 departments in 18 in-person and 12 video interviews. 30 applicant and 87 interviewer survey forms were collected and analyzed. T-tests were used to compare the means of the two groups and significance levels were analyzed. Both interviewers and applicants had a higher average global satisfaction for video interviews compared to in person interviews. No difference was indicated in the ability of interviewers to assess the applicants’ skills between the two types of interviews. For both interviewers and applicants, video interviews, compared to in person interview, had a lower average score for connecting personally & establishing rapport and for satisfaction with administrative arrangements. Video interviewed applicants had a 50% probability of getting accepted in a program compared to 22% of in person interviewed candidates. We conclude that video interviews appear to be a valuable alternative to in-person interviews, with some sacrifice in personal connection and rapport. Video interviews result in significant time and cost savings for international applicants and have potential implications for the CaRMS process as well. Sackett KM, Campbell-Heider N, Blyth JB. The evolution and evaluation of videoconferencing technology for graduate nursing education. Comput Inform Nurs. 2004 (Mar-Apr); 22(2):101-6. Shepherd L, Goldstein D, Whitford H, Thewes B, Brummell V, Hicks M. The utility of videoconferencing to provide innovative delivery of psychological treatment for rural cancer patients: results of a pilot study. J Pain Symptom Manage 2006 (Nov); 32(5):453-61. Arena J, Dennis N, Devineni T, Maclean R, Meador K. A pilot study of feasibility and efficacy of telemedicine-delivered psychophysiological treatment for vascular headache. Telemed J E Health 2004 (Winter); 10(4):449-54.

Treatment barriers, preferences and histories of individuals with symptoms of body dysmorphic disorder

2020 ◽  
pp. 1-14
Author(s):  
Jessica McCausland ◽  
Josephine Paparo ◽  
Bethany M. Wootton
Keyword(s):  
Mental Health ◽  
Best Practice ◽  
Body Dysmorphic Disorder ◽  
Psychological Treatment ◽  
Behavioural Therapy ◽  
Cross Sectional Study ◽  
Treatment Barriers ◽  
Treatment Access ◽  
Cross Sectional ◽  
Treatment Delivery

Abstract Background: Individuals with mental health concerns face many barriers when accessing psychological treatment. Even when patients overcome these barriers, they often do not receive an evidence-based treatment. Although the current literature highlights these issues clearly across psychological disorders, the research is limited in relation to body dysmorphic disorder (BDD). Aim: The aim of this study was to examine psychological treatment barriers, treatment delivery preferences and treatment histories of individuals with symptoms of BDD. Method: A total of 122 participants with clinically significant BDD symptoms (94% female; mean age = 34.19 years, SD = 10.86) completed the cross-sectional study. Results: The most frequently reported barriers to accessing psychological treatment for individuals with BDD symptoms were the cost of treatment (41%) and the belief that the symptoms did not warrant treatment (36%). Although 69% of treatment-seeking participants reported previously receiving cognitive behavioural therapy (CBT) for BDD, only 13% of participants appeared to receive best-practice CBT. The preferred modality of future psychological treatment delivery was face-to-face treatment with a therapist once a week (63%), rather than accelerated or remote treatment approaches. Conclusions: The study suggests that there are significant barriers to accessing CBT for BDD. Reducing these barriers, as well as increasing consumer mental health literacy, is required to improve treatment access and treatment outcomes for individuals with BDD.

scholarly journals Cooperation & Liaison between Universities & Editors (CLUE): recommendations on best practice

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Elizabeth Wager ◽  
◽  
Sabine Kleinert
Keyword(s):  
Peer Review ◽  
Best Practice ◽  
Research Integrity ◽  
Decision Makers ◽  
Publication Ethics ◽  
List Type ◽  
Research Institutions ◽  
Academic Journals ◽  
Before And After ◽  
Published Research

Abstract Background Inaccurate, false or incomplete research publications may mislead readers including researchers and decision-makers. It is therefore important that such problems are identified and rectified promptly. This usually involves collaboration between the research institutions and academic journals involved, but these interactions can be problematic. Methods These recommendations were developed following discussions at World Conferences on Research Integrity in 2013 and 2017, and at a specially convened 3-day workshop in 2016 involving participants from 7 countries with expertise in publication ethics and research integrity. The recommendations aim to address issues surrounding cooperation and liaison between institutions (e.g. universities) and journals about possible and actual problems with the integrity of reported research arising before and after publication. Results The main recommendations are that research institutions should: develop mechanisms for assessing the integrity of reported research (if concerns are raised) that are distinct from processes to determine whether individual researchers have committed misconduct; release relevant sections of reports of research integrity or misconduct investigations to all journals that have published research that was investigated; take responsibility for research performed under their auspices regardless of whether the researcher still works at that institution or how long ago the work was done; work with funders to ensure essential research data is retained for at least 10 years. Journals should: respond to institutions about research integrity cases in a timely manner; have criteria for determining whether, and what type of, information and evidence relating to the integrity of research reports should be passed on to institutions; pass on research integrity concerns to institutions, regardless of whether they intend to accept the work for publication; retain peer review records for at least 10 years to enable the investigation of peer review manipulation or other inappropriate behaviour by authors or reviewers. Conclusions Various difficulties can prevent effective cooperation between academic journals and research institutions about research integrity concerns and hinder the correction of the research record if problems are discovered. While the issues and their solutions may vary across different settings, we encourage research institutions, journals and funders to consider how they might improve future collaboration and cooperation on research integrity cases.

Parkland Dedication: How are Cities Implementing the Rough Proportionality Principle?

2021 ◽  
Author(s):  
John Crompton
Keyword(s):  
Supreme Court ◽  
Local Governments ◽  
Best Practice ◽  
Service Level ◽  
Professional Engineer ◽  
Large Cities ◽  
General Welfare ◽  
The Supreme Court ◽  
New Development ◽  
Proportionality Principle

As part of local governments’ mandate to regulate for the “health, safety, and general welfare” of their residents, many have included a parkland dedication exaction on new development in their sub-division regulations. The rules governing the magnitude of the dedication were established in 1994 by the U.S. Supreme Court in Dolan v City of Tigard. The Court ruled there must be “rough proportionality” between a dedication exaction and the projected new demand from a development. The ruling requires a local jurisdiction to be proactive in quantifying the justification for the magnitude of a dedication it imposes, but the Court offered no guidance on how the quantification should be done. This study’s two objectives were: (i) to investigate the extent to which cities’ ordinances comply with the Supreme Court’s ruling, and (ii) to identify best practices among cities’ ordinances relating to operationalizing the “rough proportionality” principle. Parkland dedication ordinances were analyzed from 73 Texas cities, supplemented by insights from those of 29 large cities outside Texas. In 65 of the Texas ordinances where “rough proportionality” comparisons could be made, the analyses found percentage under-dedications ranging from 9% to 1,250%. In defiance of the Court’s ruling, almost two-thirds of the ordinances showed no evidence of using an empirical quantitative method to establish “rough proportionality.” Many of these ordinances provided a service level ratio, but it appeared to be arbitrarily determined. These findings are especially egregious in Texas, since state law requires that the quantification of “rough proportionality” be certified as being appropriate by a professional engineer. Three models of best practice that used empirical methods to derive rough proportionality and met the Supreme Court guidelines are identified, described, and illustrated. Under-dedication often reflects the reluctance of elected officials to antagonize the development community. Thus, four strategies are offered to facilitate their efforts to impose a substantive exaction that relieves the burden on taxpayers, while demonstrating sensitivity to any protests arising from members of the development community.

Proposed guidance on cost-avoidance studies in pharmacy practice

2021 ◽  
Author(s):  
Asad E Patanwala ◽  
Sujita W Narayan ◽  
Curtis E Haas ◽  
Ivo Abraham ◽  
Arthur Sanders ◽  
...  
Keyword(s):  
Clinical Pharmacy ◽  
Best Practice ◽  
Pharmacoeconomic Analysis ◽  
Pharmacy Practice ◽  
Cost Savings ◽  
Sensitivity Analyses ◽  
Cost Assessment ◽  
Potential Consequence ◽  
Cost Avoidance ◽  
Pharmacist Interventions

Abstract Disclaimer In an effort to expedite the publication of articles related to the COVID-19 pandemic, AJHP is posting these manuscripts online as soon as possible after acceptance. Accepted manuscripts have been peer-reviewed and copyedited, but are posted online before technical formatting and author proofing. These manuscripts are not the final version of record and will be replaced with the final article (formatted per AJHP style and proofed by the authors) at a later time. Purpose Cost-avoidance studies of pharmacist interventions are common and often the first type of study conducted by investigators to quantify the economic impact of clinical pharmacy services. The purpose of this primer is to provide guidance for conducting cost-avoidance studies pertaining to clinical pharmacy practice. Summary Cost-avoidance studies represent a paradigm conceptually different from traditional pharmacoeconomic analysis. A cost-avoidance study reports on cost savings from a given intervention, where the savings is estimated based on a counterfactual scenario. Investigators need to determine what specifically would have happened to the patient if the intervention did not occur. This assessment can be fundamentally flawed, depending on underlying assumptions regarding the pharmacists’ action and the patient trajectory. It requires careful identification of the potential consequence of nonaction, as well as probability and cost assessment. Given the uncertainty of assumptions, sensitivity analyses should be performed. A step-by-step methodology, formula for calculations, and best practice guidance is provided. Conclusions Cost-avoidance studies focused on pharmacist interventions should be considered low-level evidence. These studies are acceptable to provide pilot data for the planning of future clinical trials. The guidance provided in this article should be followed to improve the quality and validity of such investigations.

A Systematic Planning Tool for Environmental Characterisation

2009 ◽  
Author(s):  
Steven Wilcox ◽  
Richard Wilkins ◽  
Martin Lyons
Keyword(s):  
Best Practice ◽  
Planning Process ◽  
Cost Effective ◽  
Decision Makers ◽  
Performance Criteria ◽  
Final Decision ◽  
Cost Effective Approach ◽  
Systematic Planning ◽  
Sample Plan

Many organisations are currently dealing with long standing legacy issues in clean up, decommissioning and demolition projects. Industry is required to ensure that all bulk articles, substances and waste arisings are adequately characterised and assigned to the correct disposal routes in compliance with UK legislation and best practice. It is essential that data used to support waste sentencing is of the correct type, quality and quantity, and that it is appropriately assessed in order to support defensible, confident decisions that account for inherent uncertainties. AMEC has adopted the Data Quality Objectives (DQO) based methodology and the software package Visual Sample Plan (VSP) to provide a better, faster, and more cost effective approach to meeting regulatory and client requirements, whilst minimising the time spent gathering data and assessing the information. The DQO methodology is based on a scientific approach that requires clear objectives to be established from the outset of a project and that there is a demonstration of acceptability of the results. Through systematic planning, the team develops acceptance or performance criteria for the quality of the data collected and for the confidence in the final decision. The systematic planning process promotes communication between all departments and individuals involved in the decision-making process thus the planning phase gives an open and unambiguous method to support the decisions and enables the decision-makers (technical authorities on the materials of concern) to document all assumptions. The DQO process allows better planning, control and understanding of all the issues. All types of waste can be sentenced under one controllable system providing a more defensible position. This paper will explain that the DQO process consists of seven main steps that lead to a detailed Sampling and Analysis Plan (SAP). The process gives transparency to any assumptions made about the site or material being characterised and identifies individuals involved. The associated calculation effort is reduced using the statistically based sampling models produced with VSP. The first part of this paper explains the DQO based methodology and Visual Sample Plan and the second part shows how the DQO process has been applied in practice.

scholarly journals PENGUATAN KELEMBAGAAN DAN DESTINASI DESA WISATA TAPAK TILAS SULTAN AGUNG, MANGUNAN, BANTUL

J-Dinamika ◽  
2019 ◽  
Vol 4 (2) ◽  
Author(s):  
Tanto Lailam ◽  
Awang Daru Murti ◽  
Ani Yunita
Keyword(s):  
Focus Group ◽  
Focus Group Discussion ◽  
Best Practice ◽  
Group Discussion ◽  
Community Based

Program pengabdian dengan skema Program Pengembangan Desa Mitra (PPDM) ini dilakukan untuk memperkuat kelembagaan pengelola desa wisata dan destinasi di Desa Wisata Tapak Tilas Sultan Agung, Mangunan. Tujuan program ini adalah menjadikan mitra sebagai model pusat pertumbuhan ekonomi kerakyatan dan kesejahteraan masyarakat berkelanjutan melalui pengembangan potensi desa wisata yang dipadukan dengan budaya dengan pendekatan community based tourism. Metode pelaksanaan dilakukan dengan: survei dan wawancara, focus group discussion, pelatihan, pendampingan, dan fasilitasi.Hasil Pengabdian berupa penguatan kelembagaan dan destinasi Desa Wisata Tapak Tilas Sultan Agung Mangunan dilakukan dengan melakukan pemetaan potensi unggulan daya tarik wisata melalui survei dan wawancara. Setelah dipetakan secara baik, tentu dilakukan penguatan berkaitan dengan kelembagaan dan sumber daya manusia pengelola desa wisata melalui berbagai pelatihan yang diselenggarakan, yaitu: pelatihan manajemen kelembagaan desa wisata dan community based tourism, pelatihan komunikasi pariwisata, komunikasi pemasaran dan  “branding desa wisata”, pelatihan pelayanan prima desa wisata, pelatihan best practice dan studi banding pengelolaan desa wisata ke Desa Wisata Nglanggeran dan Desa Wisata Bleberan. Selain itu, dilakukan penguatan destinasi di Desa wisata Tapak Tilas Sultan Agung dilakukan dengan menambahkan wisata agro berupa pemberian bibit kopi, penyediaan papan informasi daya tarik wisata yang ditempatkan pada daya tarik wisata wayu goyang, dan fasilitasi legalisasi perkumpulan seni budaya dengan pembuatan akta notaris.Kata Kunci: Desa Wisata, Tapak Tilas Sultan Agung, Destinasi Wisata, Manajemen Kelembagaan.

scholarly journals Evaluation and Selection of Nigerian Third-Party Logistics Service Providers Using Multi-Criteria Decision Models

2021 ◽  
Vol 12 (1) ◽  
pp. 135-146
Author(s):  
E.A. Ejem ◽  
C.M. Uka ◽  
D.N. Dike ◽  
C.C. Ikeogu ◽  
C.C. Igboanusi ◽  
...  
Keyword(s):  
Service Providers ◽  
Service Level ◽  
Decision Makers ◽  
Third Party ◽  
Decision Models ◽  
Third Party Logistics ◽  
Logistics Service ◽  
Logistics Service Providers ◽  
Selection Of

Abstract This paper is focused on solving the evaluation and selection of 3PL’s by applying multi-criteria decision-making methods. Nigerian Breweries, Nigerian Bottling Company (NBC), AG Leventis, Kobo logistics, and Flour Mills of Nigeria (FMN) were understudied. The main criteria on which evaluation is based were established: Cost, Service level, Financial Capability, Reputation and Long-term relationship. A combination of two quantitative models was adopted in the study. Relevant data were collected through an oral interview with managers and key decision-makers at the companies. SWARA was first applied to the collated data to determine the relative weights of the criteria. Afterwards, the TOPSIS was applied to the weights developed using SWARA and on the performance of the selected service providers. After the analysis, the best service provider was identified as supplier 2 while the worst was supplier 5.

scholarly journals Peningkatan Kompetensi Guru Biologi Melalui Pendampingan Kegiatan Pembelajaran Berbasis Lesson Study di SMAN 1 Lembar

2020 ◽  
Vol 2 (1) ◽  
Author(s):  
Jamaluddin Jamaluddin ◽  
A Wahab Jufri ◽  
Agus Ramdani ◽  
Afriana Azizah
Keyword(s):  
Focus Group ◽  
Focus Group Discussion ◽  
Lesson Study ◽  
Best Practice ◽  
Group Discussion

Tujuan kegiatan pengabdian pada masyarakat ini adalah untuk, 1) meningkatkan kualitas perencanaan pembelajaran biologi (penyusunan perangkat pembelajaran) dengan menerapkan pola lesson study di SMA Negeri 1 Lembar, 2) meningkatkan kualitas proses pembelajaran biologi dengan menerapkan pola lesson study di SMA Negeri 1 Lembar, dan 3) meningkatkan kualitas cara mengevaluasi pembelajaran dengan menerapkan pola lesson study di SMA Negeri 1 Lembar. Manfaat yang dapat diperoleh melalui kegiatan pengabdian pada masyarakat ini antara lain, 1) secara praksis dapat meningkatkan kualitas pembelajaran biologi melalui penerapan model-model pembelajaran inovatif denganpola lesson studi, 2) dapat mengembangkan kompetensi pedagogik guru khususnya dalam merencanakan, melaksanakan, dan mengevaluasi pembelajaran dengan pola lesson studi, 3) hasil yang akan diperoleh dapat digunakan sebagai acuan dalam merencanakan, melaksanakan, dan mengevalusai pembelajaran biologi dengan pola lesson studi.  Kegiatan pengabdian pada masyarakat ini akan dilaksanakan melalui tiga tahap, yaitu 1) sosialisasi dan focus group discussion tentang materi lesson study, 2) pendampingan pembuatan perangkat pembelajaran dengan pola lesson studi, 3) pendampingan pada saat melaksanakan dan mengevaluasi pembelajaran dengan pola lesson studi. Metode yang digunakan dalam kegiatan ini antara lain adalah, 1) diskusi informasi terkait dengan konsep, prosedur, best practice tentang lesson study, 2) praktek langsung penyusunan perangkat pembelajaran, pelaksanaan proses pembelajaran, dan evaluasi pembelajaran dengan pola lesson studi. Hasil yang diharapkan dapat dicapai melalui kegiatan ini sesuai dengan tujuan yang telah direncanakan, yaitu 1) meningkatnya pemahaman pendidik biologi tentang konsep dan prosedur pembelajaran biologi dengan pola lesson studi, 2) meningkatnya keterampilan pedidik biologi dalam merancang dan melaksanakan pembelajan biologi dengan pola lesson studi, dan 3) meningkatnya keterampilan pendidik biologi dalam mengevaluasi pembelajaran yang telah dilakukan dengan pola lesson studi.Kata Kunci: Kompetensi Pendidik Biologi; Kegiatan Pembelajaran; Lesson Study.

Sign in / Sign up

Export Citation Format

Share Document