intervention selection
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2022 ◽  
Vol 14 (2) ◽  
pp. 854
Author(s):  
Charlie E. Sutton ◽  
Mark Monaghan ◽  
Stephen Case ◽  
Joanne Greenhalgh ◽  
Judy Wright

This article examines the problematic reductionism and decontextualising nature of hegemonic youth justice intervention evaluation and offers a way ahead for a realistic, context-sensitive approach to intervention evaluation in the youth justice field. It opens by considering how the development of risk-based youth justice interventions in England and Wales flowed from and fed into the modernisation and resultant partiality of the ‘evidence-base’, which shaped youth justice practice. It then moves to a critical review of the emergence and continued influence of risk-based interventions and the ‘What Works’ intervention evaluation framework in youth justice. In the closing discussion, this article envisages the potential of taking a realist approach to the evaluation of youth justice interventions to mitigate the limitations of current approaches to intervention selection and the evaluation of their ‘effectiveness’.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 538-538
Author(s):  
Kim Curyto ◽  
Jennifer Sullivan ◽  
Laura Wray

Abstract The delay between establishing evidence-based practice and implementing this evidence base is well documented. This presentation will focus on the application of implementation science principles to real-world clinical programs. A VA priority is to implement evidence-based practice for management of DBD in CLCs. Key implementation science concepts will be introduced, along with a description of how these conceptual models facilitate application of roll-out and sustainment of complex evidence-based interventions. Conceptual frameworks that contributed to intervention selection and facilitation of STAR-VA implementation, including the Consolidated Framework for Implementation Research (CFIR) and Knowledge Reservoirs (KR) framework, and their application in health care practice, will be discussed. The CFIR Expert Recommendation for Implementing Change (ERIC) Mapping Tool will be introduced as useful to identify strategies that address barriers to sustaining implementation. Attendees will be provided with resources to support implementation and sustainment efforts.


2021 ◽  
pp. 1-13
Author(s):  
M. Harrison Snyder ◽  
Ching-Jen Chen ◽  
Faraz Farzad ◽  
Natasha Ironside ◽  
Ryan T. Kellogg ◽  
...  

OBJECTIVE A Randomized Trial of Unruptured Brain Arteriovenous Malformations (ARUBA) suggested that medical management afforded outcomes superior to those following intervention for unruptured arteriovenous malformations (AVMs), but its findings have been controversial. Subsequent studies of AVMs that would have met the eligibility requirements of ARUBA have supported intervention for the management of some cases. The present meta-analysis was conducted with the object of summarizing interventional outcomes for ARUBA-eligible patients reported in the literature. METHODS A systematic literature search (PubMed, Web of Science, Google Scholar) for AVM intervention studies that used inclusion criteria identical to those of ARUBA (age ≥ 18 years, no history of AVM hemorrhage, no prior intervention) was performed. The primary outcome was death or symptomatic stroke. Secondary outcomes included AVM obliteration, hemorrhage, death, and poor outcome (modified Rankin Scale score ≥ 2 at final follow-up). Bias assessment was performed with the Newcastle-Ottawa Scale, and the results were synthesized as pooled proportions. RESULTS Of the 343 articles identified through database searches, 13 studies met the inclusion criteria, yielding an overall study cohort of 1909 patients. The primary outcome occurred in 11.2% of patients (pooled = 11%, 95% CI 8%–13%). The rates of AVM obliteration, hemorrhage, poor outcome, and death were 72.7% (pooled = 78%, 95% CI 70%–85%), 8.4% (pooled = 8%, 95% CI 6%–11%), 9.9% (pooled = 10%, 95% CI 7%–13%), and 3.5% (pooled = 2%, 95% CI 1%–4%), respectively. Annualized primary outcome and hemorrhage risks were 1.85 (pooled = 2.05, 95% CI 1.31–2.94) and 1.34 (pooled = 1.41, 95% CI 0.83–2.13) per 100 patient-years, respectively. CONCLUSIONS Intervention for unruptured AVMs affords acceptable outcomes for appropriately selected patients. The risk of hemorrhage following intervention compared favorably to the natural history of unruptured AVMs. The included studies were retrospective and varied in treatment and AVM characteristics, thereby limiting the generalizability of their data. Future studies from prospective registries may clarify patient, nidus, and intervention selection criteria that will refine the challenging management of patients with unruptured AVMs.


2021 ◽  
Vol 11 ◽  
Author(s):  
Waganesh A. Zeleke ◽  
Tammy L. Hughes ◽  
Gibbs Kanyongo

This study examines the effect of professional development training on educators' and practitioners' knowledge of Autism and the use of culturally responsive practices. Using a single group, pre-post design, data was gathered from 34 educators and health professionals (i.e., teachers, counselors, psychologists, therapists, therapeutic care workers, social workers, and nurses) in Ethiopia. A week-long training covering ASDs and culturally responsive evidence-based training was provided to participants. Results showed significant improvement in participants' knowledge about ASD symptoms, nature, characteristics, as well as intervention selection. Participants' use of culturally informed approaches, in their area of professional service, showed a high level of participants' knowledge and low-level use of culturally responsive practices, policies, and procedures. Recommendations for addressing cultural factors impacting the diagnosis and treatment-seeking approaches to ASD in Africa are provided.


2021 ◽  
Author(s):  
Marielza R. Ismael Martins ◽  
◽  
◽  
◽  

The themes included in this book, involving active collaborators, confirm the need to fill the gap for health and education professionals. By presenting information from reliable sources and step-by-step activities to implement interventions with visual and phonological, dysgraphic, dyscalculic and ADHD dyslexics, it aims to provide effective procedures for screening, evaluation, intervention selection and monitoring. Issues examined such as visual dyslexia analyze developmental dyslexia as a condition that has been associated with motor difficulties, but little is known about what is shared or differentiated between its subtypes. The assessment of dyscalculia, which is often neglected, is clearly presented providing a tool for assessment and addressing family or support networks of students with Learning Disorders deepens our understanding Understanding the development of the school allows us to recognize specific situations that are often ignored. All activities have multisensory instruction, that is, students use more than one sense at a time, and multisensory instruction offers students more than one way to make connections and learn concepts The contributors to this book are active researchers in the teachinglearning process and the objective was to expand information on Learning Disorders with content chosen in a selective manner, giving relevance to the multidisciplinary team.


Author(s):  
Shelley Kathleen Krach ◽  
Lori R. Kern

Many recent studies incorporate technology into classroom management strategies. Technology-based interventions can be used to increase the engagement of students in schools because they can be personalized to each student and meaningfully incorporated into the existing classroom ecology. This chapter describes how to effectively implement technology-based classroom management strategies. There is a particular focus on intervention selection and implementation. An evaluation of ClassDojo is included as an evaluative case study. Also, considerations of diversity and equity within classroom management interventions incorporating technology are included.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
A Maassen ◽  
C Sostongs

Abstract In 2019, members of the EuroHealthNet Partnership established the first Thematic Working Group on Health Promotion and Disease Prevention Programme Registers with the intention of becoming 'the competence engine for Programme Registers in Europe.' The group's objectives include to exchange experience, to initiate joint projects, to identify and further develop common topics relevant to Programme Registers, and to share findings in scientific papers and international conferences. Through such activities, the group builds the foundation for a more systematic and scientific European approach to translating evidence into practice and provides a forum for liaison and exchange between EU Member States, the European Commission, and international partners. Programme registers are only as relevant as they are influential in professionals' and policy makers' decision-making around intervention selection. Facilitating uptake of best practices requires an understanding of incentives, disincentives and decision-making processes, as well as how to make the programme registers more prominent and user-friendly. Outcomes from the 2020 Working Group meeting in Cologne will be presented, including case studies from across Europe, as well as recommendations to improve the uptake of best practices, tailored to portals at different stages of development.


2020 ◽  
Author(s):  
Sarah K. Volkman ◽  
Oumar Sarr ◽  
Richard W. Steketee ◽  
Stephen F. Schaffner ◽  
Yakou Dieye ◽  
...  

Abstract Background Malaria elimination efforts can be undermined by imported malaria infections. Imported infections are classified based on travel history. Methods A genetic strategy was applied to better understand the contribution of imported infections and to test for local transmission in the very low prevalence region of Richard Toll, Senegal. Results Genetic relatedness analysis, based upon molecular barcode genotyping data derived from diagnostic material, provided evidence for both imported infections and ongoing local transmission in Richard Toll. Evidence for imported malaria included finding that a large proportion of Richard Toll parasites were genetically related to parasites from Thiès, Senegal, a region of moderate transmission with extensive available genotyping data. Evidence for ongoing local transmission included finding parasites of identical genotype that persisted across multiple transmission seasons as well as enrichment of highly related infections within the households of non-travellers compared to travellers. Conclusions These data indicate that, while a large number of infections may have been imported, there remains ongoing local malaria transmission in Richard Toll. These proof-of-concept findings underscore the value of genetic data to identify parasite relatedness and patterns of transmission to inform optimal intervention selection and placement.


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