Process Evaluation of MAPS: A Highly Tailored Digital Intervention to Support Medication Adherence in Primary Care Setting

Background: Medication adherence can prevent health risks, but many patients do not adhere to their prescribed treatment. Our recent trial found that a digital intervention was effective at improving medication adherence in non-adherent patients with Hypertension or Type 2 Diabetes; but we do not know how it brought about behavioural changes. This research is a post-trial process evaluation of the mechanism by which the intervention achieved its intended effects.Methods: A mixed methods design with quantitative and qualitative evidence synthesis was employed. Data was generated by two studies. Study 1 used questionnaires to measure the underlying mechanisms of and the medication adherence behaviour, and digital logfiles to objectively capture intervention effects on the process of behaviour change. Multilevel regression analysis on 57 complete intervention group cases tested the effects of the intervention at modifying the mechanism of behaviour change and in turn at improving medication adherence. Study 2 used in depth interviews with a subsample of 20 intervention patients, and eight practise nurses. Thematic analysis provided evidence about the overarching intervention functions and recommendations to improve intervention reach and impact in primary care.Results: Study 1 found that intervention effectiveness was significantly associated with positive changes in the underlying mechanisms of behaviour change (R2 = 0.26, SE = 0.98, P = 0.00); and this effect was heightened twofold when the tailored intervention content and reporting on medication taking (R2 = 0.59, SE = 0.74, P = 0.00) was interested into the regression model. Study 2 suggested that the intervention supported motivation and ability to adherence, although clinically meaningful effects would require very brief medication adherence risk appraisal and signposting to ongoing digitally delivered behavioural support during clinical consultations.Conclusion: This post trial process evaluation used objective methods to capture the intervention effect on the mechanisms of behaviour change to explain intervention effectiveness, and subjective accounts to explore the circumstances under which these effects were achieved. The results of this process evaluation will inform a large scale randomised controlled trial in primary care.

The Journey for Digital Well Delivery Technology Adoption: The How and Why

As part of the industry 4.0 revolution, digital technologies are forever changing the way we do things. native cloud applications are able to adapt to specific processes and requirements, particularly those related to well construction planning driven by an automated collaborative solution. The operator of the future will use its engineers mainly for engineering analysis and social interactions, while the system will take over tasks such as orchestration, data mining, and experience management. Based on the definition of a new way of working and the application of new workflows, a thorough trial process was required to evaluate the solution usability and to define the minimum viable product requirements to be developed within a strategic partnership prior to rolling out the technology. The requirement was to enable globally dispersed teams, even across company borders, collaborating through automatically orchestrated processes, supported by knowledge and experience management systems in the background, to deliver a digital drilling program and ultimately accelerate the field development program. The operator decided to prove the concept through a series of pilots within a well-educated well planning team. Major assumptions to the business case were tested while planning actual drilling operations with the purpose to de-risk the value proposition. All different tested elements are captured by the users and the gaps to the final solution are ranked for joint development. The back-end interoperability of the solution supports a fully connected model, where data from subsurface systems can directly feed the well construction planning platform. The automated updates in the end-to-end workflow would ultimately simplify the way drilling engineers work, but also upscale the nature of their work by including many new elements as part of the routing analysis. Supported by the cloud computer power and flexibility, remote working is seamlessly enabled to removing the classic silos and digitally promote the collaboration. Standardization across the whole organization by corporate managed settings reduces iterative control processes. Furthermore, management of change is a key aspect to consider alongside the technical elements. The result of the extended trial confirmed that achieving the minimum viable product requirements of the operators was well within reach and confirmed the operator's value case to a large extent. In this paper we will describe the extended trial process, objectives, and associated workflows, in addition to the collaborative team nominated by both partners. The scope was user centric to assist with competency development and technology adoption. Parallel to confirming the minimum viable product, the extended pilot resulted in a prioritized list of co-developments leading to the full implementation of the operator's vision of a fully integrated well planning workflow.

Should the use of an alternative trial process preclude referral back to the criminal justice system? Consideration of one aspect of the Law Commission's proposal for trial process reform in cases of sexual offending

<p>In its recent Issues Paper, Alternative Pre-Trial and Trial Processes: Possible Reforms, the New Zealand Law Commission proposed to make available some form of restorative justice process as a complete alternative to the criminal justice system in certain sexual offence cases. It also proposed that where an offender participates in an alternative process in good faith and fulfils all undertakings, the case cannot be referred back to the criminal justice system. This paper considers situations where alternative trial processes should be referred back to the criminal justice system and what should happen to material disclosed during the alternative process if referral occurs. If restorative processes are to be used as a complete alternative to the criminal justice system, there must a “public safety override” which prioritises public safety over victim autonomy. This override will be applied by restorative justice providers, who will have the ability to refer cases back to the criminal justice system. If referral does occur, the content of the restorative proceedings should be privileged, and that privilege should belong to the offender. The fact of the offender’s agreement to participate should also be privileged.</p>

Should the use of an alternative trial process preclude referral back to the criminal justice system? Consideration of one aspect of the Law Commission's proposal for trial process reform in cases of sexual offending

<p>In its recent Issues Paper, Alternative Pre-Trial and Trial Processes: Possible Reforms, the New Zealand Law Commission proposed to make available some form of restorative justice process as a complete alternative to the criminal justice system in certain sexual offence cases. It also proposed that where an offender participates in an alternative process in good faith and fulfils all undertakings, the case cannot be referred back to the criminal justice system. This paper considers situations where alternative trial processes should be referred back to the criminal justice system and what should happen to material disclosed during the alternative process if referral occurs. If restorative processes are to be used as a complete alternative to the criminal justice system, there must a “public safety override” which prioritises public safety over victim autonomy. This override will be applied by restorative justice providers, who will have the ability to refer cases back to the criminal justice system. If referral does occur, the content of the restorative proceedings should be privileged, and that privilege should belong to the offender. The fact of the offender’s agreement to participate should also be privileged.</p>

The Expressive Function of #VictimsLaw: Developing a Substantive and Enforceable Framework of Rights and Remedies in Response to Local Need and the Emerging forms of Victimization

All too often, the law fails victims because it is placatory and unenforceable. The law fails to provide real support and redress when victims need it. Recent international attention has moved to consider the benefits of a victims’ law, one that provides for recognition, dignity and respect for victims by enhancing victim agency through a type of justice which is both substantive and enforceable. It aims to provide higher levels of transparency and accountability of public officials, including the police, prosecution and courts. Such a law builds upon previous attempts at enforceable rights by ascribing a more comprehensive human rights framework compatible with the fair trial process, by granting victims the right to be informed, present and heard within the investigative and trial process more broadly. This article will consider the feasibility of a victims’ law by examining what it offers the recently addressed or emerging forms of victimization. Three examples trending on the #victimslaw hashtag are selected for analysis—domestic and gendered violence; modern slavery and servitude; and coercive control, cyber-abuse and harm. The extent to which a victims’ law provides a meaningful way of ratifying international standards and norms against domestic law and policy is assessed against the needs of those most vulnerable victims of abuse and neglect.

The Visualities and Aesthetics of Prosecuting Aged Defendants

The prosecution—whether domestic or international—of international crimes and atrocities may implicate extremely aged defendants. Much has been written about the legalisms that inhere (or not) in trying these barely alive individuals. Very little however has been written about the aesthetics the barely alive encrust into the architecture of courtrooms, the optics these defendants suffuse into the trial process, and the expressive value of punishing them. This is what we seek to do in this project.

Optics, Aged Witnesses and Aged Defendants: Habré at the Extraordinary African Chambers

The prosecution of international crimes in domestic and international criminal justice systems may involve aged defendants. Such prosecutions often implicate aged witnesses as well. There is a dearth of literature not only on the expressive value and optics of punishing aged defendants but also on the role of aged witnesses in the trial process. The need to interrogate these optics and perceptions—be it from an empirical or a theoretical perspective—is not only necessary, it is also timely. This article assesses the prosecution of Chadian dictator Hissène Habré in 2015–2016 at the Extraordinary African Chambers. This trial not only concerned an aged defendant, but also over 90 witnesses, the majority of whom was aged. This article explores the dialectics between the optics of punishing aged defendants and the optics of aged witnesses at the Habré trial.

J2ME-Based 2D Rubber Puzzle Mobile Game

2D Rubix Game is part of an educational game. 2D Rubix Game in addition to being a medium of entertainment, is expected to help users sharpen their brains in managing strategy. 2D rubix game has 4 levels, where the higher the level, the more difficult and many rubix dimensions. 2D rubix game also has a new game menu, save, load game, and highscore. 2D Rubix Game created using the Java programming language with J2ME functions. J2ME is a part of the Java programming language that can be used to create applications for various electronic media. Rubix 2D game has conducted a trial process on the emulator and all menus can run according to their functions

Lecția-proces de judecată ca alternativă a lecției clasice

The article addresses the issue of non-traditional lessons as an alternative to the classical ones, emphasizing, in particular, the type of lesson-trial. Initially, a definition of the lesson-trial is proposed, a series of its essential characteristics are highlighted, as well as some subtypes of it, depending on the purpose pursued by the teacher. Along the way, the stages oforganizing and carrying out a lesson-trial process (preparation, actual evaluation) are presented, there are formulated the objectives of each. The procedure for developing the lesson-trial is also described, the reference is made to the methods applied in this form of organizing students' activity (role play, debate, etc.). In conclusion, the advantages of such an alternative lesson are reviewed.