WorldWideScience

Sample records for technology cbt publications

  1. Efficacy of technology-delivered cognitive behavioural therapy for OCD versus control conditions, and in comparison with therapist-administered CBT: meta-analysis of randomized controlled trials.

    Science.gov (United States)

    Dèttore, Davide; Pozza, Andrea; Andersson, Gerhard

    2015-01-01

    Cognitive behavioural therapy (CBT) is a well-established treatment for obsessive-compulsive disorder (OCD). However, few patients receive CBT, due to factors such as geographic limitations, perceived stigmatization, and lack of CBT services. Technology-delivered cognitive behavioural therapy (T-CBT) could be an effective strategy to improve patients' access to CBT. To date, a meta-analysis on the effectiveness of T-CBT for OCD has not been conducted. This study used meta-analytic techniques to summarize evidence on the efficacy of T-CBT for OCD versus control conditions and therapist-administered CBT. A meta-analysis according to Prisma guidelines was conducted on randomized controlled trials (RCTs) of T-CBT for OCD. Treatment was classified as T-CBT if evidence-based CBT active ingredients for OCD were included (psychoeducation, ERP, and cognitive restructuring), delivered through health technologies (e.g. self-help books, leaflets, and other forms of bibliotherapy) or remote communication technologies (e.g. the Internet, web-cameras, telephones, telephone-interactive voice response systems, and CD-ROMS). Studies using validated outcomes for OCD or depression were included. Eight trials were included (N = 420). Two trials were classified as at high risk of bias. T-CBT seemed to be superior to control conditions on OCD symptom outcomes at post-treatment (d = 0.82, 99% CI = 0.55-1.08, p = 0.001), but not on comorbid depression (d = 0.33, 99% CI = - 0.01-0.67, p = 0.020). Difference in the efficacy on OCD symptoms between T-CBT and therapist-administered CBT was not significant, despite a trend favouring therapist-administered CBT emerged (d = 0.45, 95% CI = 0.03-0.87, p = 0.033). Directions for research are discussed. Further RCTs are warranted to examine the efficacy of T-CBT for OCD.

  2. Caring for the carer: a systematic review of pure technology-based cognitive behavioral therapy (TB-CBT) interventions for dementia carers.

    Science.gov (United States)

    Scott, Jennifer L; Dawkins, Sarah; Quinn, Michael G; Sanderson, Kristy; Elliott, Kate-Ellen J; Stirling, Christine; Schüz, Ben; Robinson, Andrew

    2016-08-01

    Face-to-face delivery of CBT is not always optimal or practical for informal dementia carers (DCs). Technology-based formats of CBT delivery (TB-CBT) have been developed with the aim to improve client engagement and accessibility, and lower delivery costs, and offers potential benefits for DCs. However, research of TB-CBT for DCs has maintained heavy reliance on therapist involvement. The efficacy of pure TB-CBT interventions for DCs is not currently established Methods: A systematic review of trials of pure TB-CBT intervention for DCs from 1995 was conducted. PsycINFO, Cochrane Reviews, Scopus and MedLine databases were searched using key terms related to CBT, carers and dementia. Four hundred and forty two articles were identified, and inclusion/exclusion criteria were applied; studies were only retained if quantitative data was available, and there was no active therapist contact. Four articles were retained; two randomized and two waitlist control trials. Methodological and reporting quality was assessed. Meta-analyses were conducted for the outcome measures of caregiver depression. Meta-analysis revealed small significant post-intervention effects of pure TB-CBT interventions for depression; equivalent to face-to-face interventions. However, there is no evidence regarding long-term efficacy of pure TB-CBT for DCs. The systematic review further identified critical methodological and reporting shortcomings pertaining to these trials Conclusions: Pure TB-CBT interventions may offer a convenient, economical method for delivering psychological interventions to DCs. Future research needs to investigate their long-term efficacy, and consider potential moderating and mediating factors underpinning the mechanisms of effect of these programs. This will help to provide more targeted interventions to this underserviced population.

  3. Publications on maglev technologies

    Energy Technology Data Exchange (ETDEWEB)

    He, J.L.; Coffey, H.T.; Rote, D.M.; Wang, Z.

    1991-12-01

    Magnetically levitated passenger-transportation vehicles, using attractive and repulsive magnetic forces, are currently in the development or prototype-revenue stages in Japan and Germany. The basic principles of these technologies have been understood for several decades, but their practical applications awaited advances in high-power electronic devices, modern controls, superconducting magnets, and improvements in our transportation infrastructures. A considerable amount of work was devoted to magnetic-levitation (maglev) transportation system in the late 1960s and the 1970s. Detailed development was sustained primarily in Germany and Japan. This listing of publications was begun as the initial phase of a design study for a maglev development facility sponsored by the State of Illinois. The listing has been continually updated under programs sponsored by the Federal Railroad Administration and the US Army Corps of Engineers. In 1991, the National Maglev Initiative issued 27 contracts for the study of technical issues related to maglev and four contracts for the definition of maglev systems. In December 1991, the Intermodal Surface Transportation Efficiency Act was enacted, mandating the development of a US-designed maglev system in a six-year period. This listing is offered as an aid to those working on these projects, to help them locate technical papers on relevant technologies. The design and installation of a maglev transportation system will require the efforts of workers in many disciplines, from electronics to economics to safety. Accordingly, the references have been grouped in 14 different sections to expedite review of the listing. In many case, the references are annotated to indicate the general content of the papers. Abstracts are not available. A list of information services from which the listed documents might be obtained and an author index are provided.

  4. CBT competence in novice therapists improves anxiety outcomes.

    Science.gov (United States)

    Brown, Lily A; Craske, Michelle G; Glenn, Daniel E; Stein, Murray B; Sullivan, Greer; Sherbourne, Cathy; Bystritsky, Alexander; Welch, Stacy S; Campbell-Sills, Laura; Lang, Ariel; Roy-Byrne, Peter; Rose, Raphael D

    2013-02-01

    This study explores the relationships between therapist variables (cognitive behavioral therapy [CBT] competence, and CBT adherence) and clinical outcomes of computer-assisted CBT for anxiety disorders delivered by novice therapists in a primary care setting. Participants were recruited for a randomized controlled trial of evidence-based treatment, including computer-assisted CBT, versus treatment as usual. Therapists (anxiety clinical specialists; ACSs) were nonexpert clinicians, many of whom had no prior experience in delivering psychotherapy (and in particular, very little experience with CBT). Trained raters reviewed randomly selected treatment sessions from 176 participants and rated therapists on measures of CBT competence and CBT adherence. Patients were assessed at baseline and at 6-, 12-, and 18-month follow-ups on measures of anxiety, depression, and functioning, and an average Reliable Change Index was calculated as a composite measure of outcome. CBT competence and CBT adherence were entered as predictors of outcome, after controlling for baseline covariates. Higher CBT competence was associated with better clinical outcomes whereas CBT adherence was not. Also, CBT competence was inversely correlated with years of clinical experience and trended (not significantly, though) down as the study progressed. CBT adherence was inversely correlated with therapist tenure in the study. Therapist competence was related to improved clinical outcomes when CBT for anxiety disorders was delivered by novice clinicians with technology assistance. The results highlight the value of the initial training for novice therapists as well as booster training to limit declines in therapist adherence. © 2012 Wiley Periodicals, Inc.

  5. Making technology public

    DEFF Research Database (Denmark)

    Winthereik, Brit Ross; Johannsen, Nis; Strand, Dixi Louise

    2008-01-01

    Purpose – Through an analysis of a demonstration video presenting a new national e-health portal, this paper aims to explore the assumptions and limitations of the concept of “script” and suggests a different approach to analysing the moral order of technology design. Design/methodology/approach ......Purpose – Through an analysis of a demonstration video presenting a new national e-health portal, this paper aims to explore the assumptions and limitations of the concept of “script” and suggests a different approach to analysing the moral order of technology design. Design....../methodology/approach – The paper reviews the work of authors who have written about scripts and scripting, and thereafter analyses a demonstration video with a particular user script. Based on the analysis of the video coupled with material from interviews, observation and analysis of other representations, the paper examines...... the transformative potential of the portal presentation for reconfiguring relationships between citizens, health care systems, and information and communication technology (ICT). The analysis is guided by Haraway's notion of diffraction. Findings – The analysis demonstrates the particular way in which the user...

  6. Technology in the public schools?

    Science.gov (United States)

    Lipman, D.

    1973-01-01

    An evaluation of the forces operating on the public schools which might influence their disposition toward the utilization of technology is presented. It is suggested that the wide-ranging technology and know-how generated by the Federally sponsored research and development programs can be adapted and applied to the solution of problems found in education. It is suggested that three major developments in society have great bearing on the utilization of technology in educational programs. The extent to which these factors are manifested and interrelated, and the potential significance of their combined impact are analyzed.

  7. Technological catastrophes and public reactions

    International Nuclear Information System (INIS)

    Osmachkin, V.

    2000-01-01

    The mankind energy demands are expected to be in 2050 more than twice of present level. But a World Conference on Environment in Kyoto is expressed the concern about the releases of greenhouses gases which could cause the climate changes. Accordingly the contamination of the atmosphere by the greenhouse gases is becoming of an urgent problem of our civilisation. Obviously a nuclear energy is assumed to be a main aid of solving such energy problem. But everybody knows the society is in a conflict situation- there is a powerful movement of 'green' forces against the nuclear power. Some people are trying firmly to stop or even to ban the development of the nuclear power in some countries. An analysis of the ground causes of such social phenomenon as anti-nuclear movement can assist us in its management and future actions for development of nuclear power. It is possible to distinguish economical, social, scientific roots of nuclear opposition. Role of mass media in development of the public anti-nuclear mood is very important. Nobody doubts that a public acceptance is a key point for future nuclear energy. Recent anti-nuclear problems can be solved by calm confident interaction with public, by careful substitution of old troublesome image of the nuclear power on view of modem controllable technology with high level of safety and protection of environment. In such actions very important to convince of public that the such modem requirements of the nuclear safety as - no large radioactive release, no emergency evacuation, no permanent relocation of population, no restrictions on food consumption- are implemented in the correspondent design decisions based on defence-in-depth concept. And everybody have to know that in the case of any operational incident all consequences of disturbances will be mitigated and real risks will be scornful small. Problem of the plants decommissioning is a very serious. But it has to be solved on the base of optimisation of money expenses and

  8. Juvenile technologies in foreign publications

    Directory of Open Access Journals (Sweden)

    Shpagina E.M.

    2012-09-01

    Full Text Available The article provides the review of foreign publications, concerning the juvenile technologies used in France, Canada, Germany and Switzerland. The paper presents legal, social and psychotherapeutic aspects of juvenile judiciary in foreign countries. The authors paid special attention to the complexity of approaches to young children and teenagers who found themselves in complicated life circumstances or got into trouble with the law. The article gives examples of using the following techniques: cognitive-behavioral intervention, mediation, family therapy (including family background and family history, relations theory, narrative practices, utilization of «emotional intelligence» resources.

  9. Public fear of nuclear technology

    International Nuclear Information System (INIS)

    Nealey, S.M.; Radford, L.R.

    1987-01-01

    Excessive fear of nuclear technology (EFONT) is estimated to affect from 35-50 percent of the U.S. public, EFONT is defined as an unpleasant state of fear with components of stress and anxiety, threat to security, and anger. The cognitive aspect of EFONT involves perception of risks, benefits, and values which reinforce and perpetuate the fear. EFONT can be reduced through communications and outreach programs by providing basic information, encouraging participation, and targeting misinformation. Risks need to be put in perspective and benefits made explicit. Safety messages should be combined with other information. Understanding and patience are indispensable in dealing with those who are afraid

  10. Computer Science and Technology Publications. NBS Publications List 84.

    Science.gov (United States)

    National Bureau of Standards (DOC), Washington, DC. Inst. for Computer Sciences and Technology.

    This bibliography lists publications of the Institute for Computer Sciences and Technology of the National Bureau of Standards. Publications are listed by subject in the areas of computer security, computer networking, and automation technology. Sections list publications of: (1) current Federal Information Processing Standards; (2) computer…

  11. Case Formulation in TADS CBT

    Science.gov (United States)

    Rogers, Gregory M.; Reinecke, Mark A.; Curry, John F.

    2005-01-01

    For the Treatment for Adolescents With Depression Study (TADS), a cognitive-behavioral therapy (CBT) manual was developed with the aim of balancing standardization and flexibility. In this article, we describe the manual's case formulation procedures, which served as one major mechanism of flexibility in TADS CBT. We first describe the essential…

  12. CBT for children with depressive symptoms: a meta-analysis.

    Science.gov (United States)

    Arnberg, Alexandra; Ost, Lars-Göran

    2014-01-01

    Pediatric depression entails a higher risk for psychiatric disorders, somatic complaints, suicide, and functional impairment later in life. Cognitive behavior therapy (CBT) is recommended for the treatment of depression in children, yet research is based primarily on adolescents. The present meta-analysis investigated the efficacy of CBT in children aged 8-12 years with regard to depressive symptoms. We included randomized controlled trials of CBT with participants who had an average age of  ≤ 12 years and were diagnosed with either depression or reported elevated depressive symptoms. The search resulted in 10 randomized controlled trials with 267 participants in intervention and 256 in comparison groups. The mean age of participants was 10.5 years. The weighted between-group effect size for CBT was moderate, Cohen's d = 0.66. CBT outperformed both attention placebo and wait-list, although there was a significant heterogeneity among studies with regard to effect sizes. The weighted within-group effect size for CBT was large, d = 1.02. Earlier publication year, older participants, and more treatment sessions were associated with a larger effect size. In conclusion, the efficacy of CBT in the treatment of pediatric depression symptoms was supported. Differences in efficacy, methodological shortcomings, and lack of follow-up data limit the present study and indicate areas in need of improvement.

  13. Public and private regulation of reproductive technologies.

    Science.gov (United States)

    Byk, C

    1995-01-01

    Human reproduction is interrelated with privacy. However, in most countries where new reproductive technologies are used public regulations have been passed to provide a legal framework for such technologies. This interference in private life can be justified by the need to control medical intervention in the human reproductive process. But in order to find a balance between public regulations and other social regulations, this article analyses the impact private regulation may have on issues raised by reproductive technologies. It also addresses the issue of the influence of private bodies on the drafting of public regulations.

  14. Mobile Technologies and Public Health

    Centers for Disease Control (CDC) Podcasts

    2008-09-05

    In this podcast, Erin Edgerton, CDC, and Eric Holman, President of SmartReply, discuss why mobile technologies are an important communications tool for disseminating health messages.  Created: 9/5/2008 by National Center for Health Marketing (NCHM), Division of eHealth Marketing (DeHM).   Date Released: 1/12/2009.

  15. Understanding Public Responses to Emerging Technologies

    NARCIS (Netherlands)

    Macnaghten, Philip; Davies, S.R.; Kearnes, Matthew

    2015-01-01

    Previous studies aimed at understanding public responses to emerging technologies have given limited attention to the social and cultural processes through which public concerns emerge. When probed, these have tended to be explained either in cognitive social psychological terms, typically in the

  16. Mapping public regulation measures for photovoltaic technologies

    DEFF Research Database (Denmark)

    Sperling, Karl; Mathiesen, Brian Vad; Hvelplund, Frede

    2011-01-01

    There is a relatively large potential for the use of photovoltaic (PV) technologies in the Nordic countries, including Denmark. Optimally designed PV support policies are a main prerequisite for the utilisation of this potential. The paper provides an overview of the main (financial) public regul...... and to enter the diffusion phase, the current net metering scheme may actually not be appropriate to facilitate such a transition.......There is a relatively large potential for the use of photovoltaic (PV) technologies in the Nordic countries, including Denmark. Optimally designed PV support policies are a main prerequisite for the utilisation of this potential. The paper provides an overview of the main (financial) public...

  17. Public's Knowledge of Science and Technology

    Science.gov (United States)

    Pew Research Center, 2013

    2013-01-01

    The public's knowledge of science and technology varies widely across a range of questions on current topics and basic scientific concepts, according to a new quiz by the Pew Research Center and "Smithsonian" magazine. About eight-in-ten Americans (83%) identify ultraviolet as the type of radiation that sunscreen protects against. Nearly…

  18. Information communication technology policy and public primary ...

    African Journals Online (AJOL)

    The main objective of this study was to correlate Information Communication Technology with public primary schools' efficiency in Rwanda. The study employed the descriptive survey and descriptive co-relational design. One hundred and forty-four primary teachers participated in the study. The level of ICT was poor (M ...

  19. Predicting Public Acceptability in Controversial Technologies

    International Nuclear Information System (INIS)

    Bruce, Donald M.

    2003-01-01

    Technology and society have a synergic relationship. New technologies are a product of the values and aspirations of the culture in which they emerge. In turn, each new technology shapes and alters these values and aspirations, to a greater or lesser degree. The acceptance by society of any particular technology depends, however, on how far the values embodied in the technology reflect those of the wider society, or only those of some privileged sector - perhaps a ruling elite, a group of academic researchers, a commercial company, or even a special interest group. As public disquiet about controversial technologies has grown, their acceptance can no longer be taken for granted. It is now becoming more important to evaluate in advance the degree of likely mismatch between the aspirations of the technologists and the values of society. This paper explores one approach to making this evaluation, based on the notion of a conditional social contract between technology and society. A given society may be prepared to embrace a new technology to deliver certain benefits, and may accept a certain degree of risk and adaptation of life styles, provided certain basic conditions are fulfilled. These conditions include the upholding of basic values, familiarity, how it compares with similar technologies, the degree of control and choice, trust in those in control, the nature of any risks, the tangible benefits, and the media profile given to the new area. If several of these factors are not fulfilled, the technology is unlikely to be accepted. This was dramatically illustrated in the UK public reaction to food products derived from imported US GM soya and maize. These failed nearly all the conditions, so that public rejection should have been seen as a foregone conclusion. In the light of this, the likely public reaction to a number of future biotechnological innovations is assessed, based on the same conditions. Some examples taken from the energy sector are also compared. The

  20. Innovation and technology for global public health.

    Science.gov (United States)

    Piot, Peter

    2012-01-01

    Recent decades have been marked by the explosive development of innovative scientific, technological and business products and processes. Despite their immense impact on health globally, little has been accomplished in the field of global public health to incorporate, address and harness such innovations in practice. In order to meet the world's growing health needs, it is essential that global public health accepts and adapts to these innovations. Moreover, such innovations must be implemented equitably in ways that will best serve their intended recipients, without deepening health- and access-related disparities. This article will briefly discuss the wide array of technologies in the pipeline that will affect global public health practice, their impact on the field and on populations and the issues facing the field in adopting these innovations.

  1. Big technologies in the public controversy

    International Nuclear Information System (INIS)

    Frederichs, G.; Bechmann, G.; Gloede, F.

    1983-05-01

    The formation of new social movements which have rendered the criticism of technological development a societal and political issue, was the motive for empirically testing the societal dimensions of the conflict over technology and its linkage with processes of social change. A representative survey of 2000 people living in the Federal Republic of Germany and West Berlin showed characteristic opinion trends among groups of the population concerning the central topics energy policy, nuclear energy, and coal, and these are related to social-structural factors. Critique of industrialism proves to be - apart from a more ''populistic'' environmentalist attitude - a relevant factor for evaluating issues of technology policy. Three main critical trends emerge which structure the public debate about energy policy: a critique which is technology specific, a generalising criticism derived from critique of industrialism, and an increasingly radical critisicm guided by post-materialistic value orientations. (orig.) [de

  2. Public libraries, information society and technology: communication

    Directory of Open Access Journals (Sweden)

    Elsa Barber

    2001-01-01

    Full Text Available The research team focuses in the influence that Argentinian public libraries (popular and public have with library automation and public services oriented to the use of information technologies, and the acquisition of communitarian information skills within the information society. The methodology consists of a survey already successfully approved in previous investigations by the research team (UBACYT FI013 and TF06. The questionnaire focuses on related variables. On one hand, the variables were related to libraries automation processes (equipment, information systems,working modules, retrospective conversion, digitization, networks,and so on. And on the other hand, with given information technologies services (access to networks and documents in every media, Web navigation assistance, information technology local server, services to minorities, and so on. Data would be gathered with specific applications from the social sciences field. The final stage would be to study specific aspects of the automation processes of the libraries surveyed, in order to verify the reciprocal relationship between the automation level reached. And subsequently, to examine the likelihood of establishing new services that respond to the community information trends within the information technology and telecommunications development context.

  3. CASCADE: Introducing AI into CBT.

    Science.gov (United States)

    Hendley, R. J.; Jurascheck, N.

    1992-01-01

    Discusses changes in training requirements of commerce and industry in the United Kingdom and describes a project, CASCADE, that was developed to investigate and implement the introduction of artificial intelligence (AI) techniques into computer-based training (CBT). An overview of pilot projects in higher education settings is provided. (eight…

  4. CBT-I Coach: A Description and Clinician Perceptions of a Mobile App for Cognitive Behavioral Therapy for Insomnia.

    Science.gov (United States)

    Kuhn, Eric; Weiss, Brandon J; Taylor, Katherine L; Hoffman, Julia E; Ramsey, Kelly M; Manber, Rachel; Gehrman, Philip; Crowley, Jill J; Ruzek, Josef I; Trockel, Mickey

    2016-04-15

    This paper describes CBT-I Coach, a patient-facing smartphone app designed to enhance cognitive behavioral therapy for insomnia (CBT-I). It presents findings of two surveys of U.S. Department of Veterans Affairs (VA) CBT-I trained clinicians regarding their perceptions of CBT-I Coach before it was released (n = 138) and use of it two years after it was released (n = 176). VA-trained CBT-I clinicians completed web-based surveys before and two years after CBT-I Coach was publicly released. Prior to CBT-I Coach release, clinicians reported that it was moderately to very likely that the app could improve care and a majority (87.0%) intended to use it if it were available. Intention to use the app was predicted by smartphone ownership (β = 0.116, p CBT-I practices (β = 0.286, p CBT-I Coach became available, 59.9% of participants reported using it with patients and had favorable impressions of its impact on homework adherence and outcomes. Findings suggest that before release, CBT-I Coach was perceived to have potential to enhance CBT-I and address common adherence issues and clinicians would use it. These results are reinforced by findings two years after it was released suggesting robust uptake and favorable perceptions of its value. © 2016 American Academy of Sleep Medicine.

  5. The CBT Advisor: An Expert System Program for Making Decisions about CBT.

    Science.gov (United States)

    Kearsley, Greg

    1985-01-01

    Discusses structure, credibility, and use of the Computer Based Training (CBT) Advisor, an expert system designed to help managers make judgements about course selection, system selection, cost/benefits, development effort, and probable success of CBT projects. (MBR)

  6. Costs and cost-effectiveness of family CBT versus individual CBT in clinically anxious children

    NARCIS (Netherlands)

    Bodden, D.H.M.; Dirksen, C.D.; Bögels, S.M.; Nauta, M.H.; de Haan, E.; Ringrose, J.; Appelboom, C.; Brinkman, A.G.; Appelboom-Geerts, K.C.M.M.J.

    2008-01-01

    The objective of this study was to investigate the cost-effectiveness of family cognitive-behavioral therapy (CBT) compared with individual CBT in children with anxiety disorders. Clinically anxious children (aged 8—18 years) referred for treatment were randomly assigned to family or individual CBT

  7. 77 FR 55482 - Public Workshop on Marine Technology and Standards

    Science.gov (United States)

    2012-09-10

    ... Technology and Standards AGENCY: Coast Guard, DHS. ACTION: Notice. SUMMARY: The American Society of...-day public workshop on marine technology and standards in Arlington, VA. This public workshop will...: The workshop will be held at The Double Tree by Hilton Hotel, in the Crystal City neighborhood of...

  8. THE ROLE OF THE PUBLIC SECTOR IN TECHNOLOGY DEVELOPMENT: GENERALIZATIONS FROM GENERAL PURPOSE TECHNOLOGIES

    OpenAIRE

    Ruttan, Vernon W.

    2001-01-01

    In the new science and technology policy literature that emerged in the early 1980s it was held, while public support for science is appropriate, public support for technology development represents an unproductive use of public resources. The perspective that emerges in my recent book, Technology, Growth and Development: An Induced Innovation Perspective is quite different. Government has played an important role in technology development and transfer in almost every U.S. industry that has b...

  9. Next Generation Public Safety and Emergency Technologies

    DEFF Research Database (Denmark)

    Bonde, Camilla; Tadayoni, Reza; Skouby, Knud Erik

    2014-01-01

    The paper researches the existing European standards for Public Safety and Emergency (PSE) services (also called Public Protection Disaster Relief “PPDR”), and identifies based on user studies in Denmark conflicts between the current deployments of the standards and the user requirements. The aim...

  10. Enhancing public involvement in assistive technology design research.

    Science.gov (United States)

    Williamson, Tracey; Kenney, Laurence; Barker, Anthony T; Cooper, Glen; Good, Tim; Healey, Jamie; Heller, Ben; Howard, David; Matthews, Martin; Prenton, Sarah; Ryan, Julia; Smith, Christine

    2015-05-01

    To appraise the application of accepted good practice guidance on public involvement in assistive technology research and to identify its impact on the research team, the public, device and trial design. Critical reflection and within-project evaluation were undertaken in a case study of the development of a functional electrical stimulation device. Individual and group interviews were undertaken with lay members of a 10 strong study user advisory group and also research team members. Public involvement was seen positively by research team members, who reported a positive impact on device and study designs. The public identified positive impact on confidence, skills, self-esteem, enjoyment, contribution to improving the care of others and opportunities for further involvement in research. A negative impact concerned the challenge of engaging the public in dissemination after the study end. The public were able to impact significantly on the design of an assistive technology device which was made more fit for purpose. Research team attitudes to public involvement were more positive after having witnessed its potential first hand. Within-project evaluation underpins this case study which presents a much needed detailed account of public involvement in assistive technology design research to add to the existing weak evidence base. The evidence base for impact of public involvement in rehabilitation technology design is in need of development. Public involvement in co-design of rehabilitation devices can lead to technologies that are fit for purpose. Rehabilitation researchers need to consider the merits of active public involvement in research.

  11. Technology from the Perspective of Society and Public Interest

    Science.gov (United States)

    Park, Chanwoon

    2017-01-01

    The ultimate goals of this study were to determine ways to reconcile technology with public interest and to understand the relationship between what we know and how we feel about technology. To achieve the goals, related literatures were reviewed; the mechanism of technology development was described with empirical data; and human perception of…

  12. Global Public Leadership in a Technological Era

    Science.gov (United States)

    Masciulli, Joseph

    2011-01-01

    Good (ethical and effective) global public leadership--by national politicians, intergovernmental and nongovernmental international organizational leaders, multinational corporate leaders, and technoscientists--will make a significant positive difference in our global system's capacity to solve contemporary and futuristic global problems. High…

  13. Cost-effectiveness of CBT, SSRI, and CBT+SSRI in the treatment for panic disorder.

    Science.gov (United States)

    van Apeldoorn, F J; Stant, A D; van Hout, W J P J; Mersch, P P A; den Boer, J A

    2014-04-01

    The objective of this study was to assess the cost-effectiveness of three empirically supported treatments for panic disorder with or without agoraphobia: cognitive behavioral therapy (CBT), pharmacotherapy using a selective serotonin reuptake inhibitor (SSRI), or the combination of both (CBT+SSRI). Cost-effectiveness was examined based on the data from a multicenter randomized controlled trial. The Hamilton Anxiety Rating Scale was selected as a primary health outcome measure. Data on costs from a societal perspective (i.e., direct medical, direct non-medical, and indirect non-medical costs) were collected in the study sample (N=150) throughout a 24-month period in which patients received active treatment during the first twelve months and were seen twice for follow-up in the next twelve months. Total costs were largely influenced by costs of the interventions and productivity losses. The mean total societal costs were lower for CBT as compared to SSRI and CBT+SSRI. Costs of medication use were substantial for both SSRI and CBT+SSRI. When examining the balance between costs and health outcomes, both CBT and CBT+SSRI led to more positive outcomes than SSRI. Cognitive behavioral therapy is associated with the lowest societal costs. Cognitive behavioral therapy and CBT+SSRI are more cost-effective treatments for panic disorder with or without agoraphobia as compared to SSRI only. © 2013 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  14. Treatment outcomes using CBT-IA with Internet-addicted patients.

    Science.gov (United States)

    Young, Kimberly S

    2013-12-01

    Internet Gaming Disorder, a subtype of Internet Addiction, is now classified in Section 3 of the DSM-5. Cognitive behavioral therapy (CBT) has been suggested in treating Internet addiction as this modality has been shown to be an effective treatment for similar impulse control disorders. Given the daily and necessary use of the Internet and technology in general compared to other compulsive syndromes, a specialized form of CBT has been developed called Cognitive-Behavioral Therapy for Internet Addiction (CBT-IA). CBT-IA is a comprehensive three phase approach that includes behavior modification to control compulsive Internet use, cognitive restructuring to identify, challenge, and modify cognitive distortions that lead to addictive use, and harm reduction techniques to address and treat co-morbid issues associated with the disorder. As the first model of its kind, this study examines 128 clients to measure treatment outcomes using CBT-IA. Clients were evaluated using the Internet Addiction Test (IAT) to classify subjects and were administered twelve weekly sessions of CBT-IA. Treatment outcomes were measured at the end of the twelve weeks, one-month, three months and at six month post-treatment. RESULTS showed that over 95% of clients were able to manage symptoms at the end of the twelve weeks and 78% sustained recovery six months following treatment. RESULTS found that CBT-IA was effective at ameliorating symptoms associated with Internet addiction after twelve weekly sessions and consistently over one-month, three months, and six months after therapy. Further research implications such as investigating long-term outcome effects of the model with larger client populations and treatment differences among the subtypes of Internet addiction or with other cultural populations using CBT-IA are discussed.

  15. 76 FR 66912 - Environmental Technologies Trade Advisory Committee Public Meeting

    Science.gov (United States)

    2011-10-28

    ... DEPARTMENT OF COMMERCE International Trade Administration Environmental Technologies Trade Advisory Committee Public Meeting AGENCY: International Trade Administration, DOC. ACTION: Notice of... DeLelle, Office of Energy & Environmental Industries (OEEI), International Trade Administration, Room 4053...

  16. 78 FR 21911 - Environmental Technologies Trade Advisory Committee Public Meeting

    Science.gov (United States)

    2013-04-12

    ... DEPARTMENT OF COMMERCE International Trade Administration Environmental Technologies Trade Advisory Committee Public Meeting AGENCY: International Trade Administration, DOC. ACTION: Notice of... Energy & Environmental Industries (OEEI), International Trade Administration, Room 4053, 1401...

  17. 78 FR 46921 - Environmental Technologies Trade Advisory Committee Public Meeting

    Science.gov (United States)

    2013-08-02

    ... DEPARTMENT OF COMMERCE International Trade Administration Environmental Technologies Trade Advisory Committee Public Meeting AGENCY: International Trade Administration, DOC. ACTION: Notice of... Hinman, Office of Energy & Environmental Industries (OEEI), International Trade Administration, Room 4053...

  18. 77 FR 14734 - Environmental Technologies Trade Advisory Committee Public Meeting

    Science.gov (United States)

    2012-03-13

    ... DEPARTMENT OF COMMERCE International Trade Administration Environmental Technologies Trade Advisory Committee Public Meeting AGENCY: International Trade Administration, Department of Commerce... Energy & Environmental Industries (OEEI), International Trade Administration, Room 4053, 1401...

  19. 78 FR 4834 - Environmental Technologies Trade Advisory Committee Public Meeting

    Science.gov (United States)

    2013-01-23

    ... DEPARTMENT OF COMMERCE International Trade Administration Environmental Technologies Trade Advisory Committee Public Meeting AGENCY: International Trade Administration, Commerce. ACTION: Notice of... Energy & Environmental Industries (OEEI), International Trade Administration, Room 4053, 1401...

  20. 76 FR 51001 - Environmental Technologies Trade Advisory Committee Public Meeting

    Science.gov (United States)

    2011-08-17

    ... DEPARTMENT OF COMMERCE International Trade Administration Environmental Technologies Trade Advisory Committee Public Meeting AGENCY: International Trade Administration, DOC. ACTION: Notice of... Energy & Environmental Industries (OEEI), International Trade Administration, Room 4053, 1401...

  1. 77 FR 58356 - Environmental Technologies Trade Advisory Committee Public Meeting

    Science.gov (United States)

    2012-09-20

    ... DEPARTMENT OF COMMERCE International Trade Administration Environmental Technologies Trade Advisory Committee Public Meeting AGENCY: International Trade Administration, DOC. ACTION: Notice of... Energy & Environmental Industries (OEEI), International Trade Administration, Room 4053, 1401...

  2. 78 FR 21909 - Environmental Technologies Trade Advisory Committee; Public Meeting

    Science.gov (United States)

    2013-04-12

    ... DEPARTMENT OF COMMERCE International Trade Administration Environmental Technologies Trade Advisory Committee; Public Meeting AGENCY: International Trade Administration, DOC. ACTION: Notice of... DeLelle, Office of Energy & Environmental Industries (OEEI), International Trade Administration, Room 4053...

  3. 78 FR 63963 - Environmental Technologies Trade Advisory Committee Public Meeting

    Science.gov (United States)

    2013-10-25

    ... DEPARTMENT OF COMMERCE International Trade Administration Environmental Technologies Trade Advisory Committee Public Meeting AGENCY: International Trade Administration, DOC. ACTION: Notice of... Hinman, Office of Energy & Environmental Industries (OEEI), International Trade Administration, Room 4053...

  4. Computer-assisted delivery of cognitive-behavioral therapy for addiction: a randomized trial of CBT4CBT.

    Science.gov (United States)

    Carroll, Kathleen M; Ball, Samuel A; Martino, Steve; Nich, Charla; Babuscio, Theresa A; Nuro, Kathryn F; Gordon, Melissa A; Portnoy, Galina A; Rounsaville, Bruce J

    2008-07-01

    This study evaluated the efficacy of a computer-based version of cognitive-behavioral therapy (CBT) for substance dependence. This was a randomized clinical trial in which 77 individuals seeking treatment for substance dependence at an outpatient community setting were randomly assigned to standard treatment or standard treatment with biweekly access to computer-based training in CBT (CBT4CBT) skills. Treatment retention and data availability were comparable across the treatment conditions. Participants assigned to the CBT4CBT condition submitted significantly more urine specimens that were negative for any type of drugs and tended to have longer continuous periods of abstinence during treatment. The CBT4CBT program was positively evaluated by participants. In the CBT4CBT condition, outcome was more strongly associated with treatment engagement than in treatment as usual; furthermore, completion of homework assignments in CBT4CBT was significantly correlated with outcome and a significant predictor of treatment involvement. These data suggest that CBT4CBT is an effective adjunct to standard outpatient treatment for substance dependence and may provide an important means of making CBT, an empirically validated treatment, more broadly available.

  5. Information Technology and Value Creation in the Public Sector Organizations

    Science.gov (United States)

    Pang, Min-Seok

    2011-01-01

    In this dissertation, I study the performance impact of information technology (IT) investments in the public sector. IT has been one of the key assets in public administration since the early MIS era. Even though the information systems (IS) discipline has witnessed a considerable amount of research efforts on the subject of IT business value for…

  6. Economics of Sustainable Technologies : Private and Public Costs and Benefits

    NARCIS (Netherlands)

    Krozer, Yoram; Abraham, Martin

    2017-01-01

    This article is focused on the economics of sustainable technologies from the mainstream and heterodox perspectives. The aim is to present major concepts, methodologies, and debates for public use. The paper is focused on decision making aiming at the development and use of sustainable technologies.

  7. Pessimism and Homework in CBT for Depression.

    Science.gov (United States)

    Sachsenweger, Mieke A; Fletcher, Richard B; Clarke, Dave

    2015-12-01

    To investigate the moderating effects of attributional style on the relationship between client-rated benefits of homework completion and depression throughout a course of cognitive behavior therapy (CBT). A total of 28 clients, aged 20 to 65 years, experiencing their first major depressive episode completed up to 20 sessions of CBT plus a follow-up session at 2 months. Clients, therapists, and independent observers completed the measures. Multilevel modeling was used for a within-person longitudinal analysis of data. Pessimism slightly moderated the relationship between quantity-quality of homework completion and depression severity over time. Decreases in depression severity were largely independent of level of homework completion. While CBT is effective in reducing depression, pessimistic attributional style can affect the perception that clients bring to the quantity and quality of homework completion. Clinicians could thus focus on dealing with pessimistic style for treatment and homework to moderate the severity of depression. © 2015 Wiley Periodicals, Inc.

  8. Public security in Brazil: Efficiency and technological gaps

    Directory of Open Access Journals (Sweden)

    Francisco Soares de Lima

    2017-01-01

    Full Text Available This article analyzes the technical efficiency, the Total Factor Productivity (TFP and the technological gap in public security services in Brazilian States. The order—m frontier is used for results estimation. The TFP variation is built by decomposing the Malmquist productivity index into technical efficiency, scale efficiency and technological variation. More than 50% of the federative units were considered technically inefficient. Out of the 27 federative units, 12 presented a positive total productivity while all others suffered total productivity losses. Productivity gains in public security are more related to scale aspects than to efficiency improvements and technological progress.

  9. Application of SharePoint Portal Technologies in Public Enterprises

    Directory of Open Access Journals (Sweden)

    Dragan Đokić

    2015-03-01

    Full Text Available Nowadays, systematic reforms are realized acrossmany countries. One of the characteristics of these reforms is necessity for rationalization of expenses in governmental and public enterprises. Rationalization of expenses can be achieved by more extensive application of information and communication technologies based on internet technologies and cloud computing. These systems include huge number of services, applications, resources, users and roles. At the same time, concepts of scalability, availability, ubiquity and pervasiveness need to be applied. This paper deals with application of portal technologies for enhanced content management, document management, and collaboration within public enterprises. The goal is to achieve efficient exchange of information on all hierarchical levels, as well as mechanisms of reporting and performance measurements, such as business intelligence and key performance indicators. The model is based on SharePoint portal technologies. A case study of application within the public enterprise Post of Serbia is described.

  10. Public acceptance of HTGR technology - HTR2008-58218

    International Nuclear Information System (INIS)

    Hannink, R.; Kuhr, R.; Morris, T.

    2008-01-01

    Nuclear energy projects continue to evoke strong emotional responses from the general public throughout the world. High Temperature Gas-Cooled Reactor (HTGR) technology offers improved safety and performance characteristics that should enhance public acceptance but is burdened with demonstrating a different set of safety principles. This paper summarizes key issues impacting public acceptance and discusses the importance of openly engaging the public in the early stages of new HTGR projects. The public gets information about new technologies through schools and universities, news and entertainment media, the internet, and other forms of information exchange. Development of open public forums, access to information in understandable formats, participation of universities in preparing and distributing educational materials, and other measures will be needed to support widespread public confidence in the improved safety and performance characteristics of HTGR technology. This confidence will become more important as real projects evolve and participants from outside the nuclear industry begin to evaluate the real and perceived risks, including potential impacts on public relations, branding, and shareholder value when projects are announced. Public acceptance and support will rely on an informed understanding of the issues and benefits associated with HTGR technology. Major issues of public concern include nuclear safety, avoidance of greenhouse gas emissions, depletion of natural gas resources, energy security, nuclear waste management, local employment and economic development, energy prices, and nuclear proliferation. Universities, the media, private industry, government entities, and other organizations will all have roles that impact public acceptance, which will likely play a critical role in the future markets, siting, and permitting of HTGR projects. (authors)

  11. Is immediate adjunctive CBT more beneficial than delayed CBT in treating depression?: A Pilot Study.

    Science.gov (United States)

    Rizvi, Sakina J; Zaretsky, Ari; Schaffer, Ayal; Levitt, Anthony

    2015-03-01

    Cognitive-behavioral therapy (CBT) is an efficacious first-line therapy for patients with major depressive disorder (MDD). Due to the limited accessibility of CBT, long wait lists result in delayed treatment, which may affect treatment outcomes. The goal of this pilot study was to obtain preliminary data from a randomized controlled trial to determine whether delayed CBT reduces the effectiveness of the therapy compared to immediate CBT in patients with MDD receiving pharmacotherapy. Patients were randomized to receive immediate CBT (n=18) or to begin CBT after 6 months (n=20) and received 14 weekly sessions, followed by two additional booster sessions. During the active treatment months, patients in the immediate group demonstrated reductions in scores on the Beck Depression Inventory II (BDI-II) that were similar to those in the delayed CBT group. However, when the analysis was performed using only data from patients in the delayed group who were still in a depressive episode, there was an overall greater decrease in BDI-II scores in the immediate group vs. the delayed group over the active treatment months, but not specifically at the 6-month endpoint. These findings suggest delays in depression treatment, similar to what occurs with real-world wait list times, may not have a significant impact on the effectiveness of CBT in patients who are already receiving treatment as usual. However, such delays may affect the effectiveness of CBT in those patients who remain depressed during the time delay. A larger trial is necessary to confirm these findings. (Journal of Psychiatric Practice 2015;21:107-113).

  12. Blended CBT versus face-to-face CBT: a randomised non-inferiority trial.

    Science.gov (United States)

    Mathiasen, Kim; Andersen, Tonny E; Riper, Heleen; Kleiboer, Annet A M; Roessler, Kirsten K

    2016-12-05

    Internet based cognitive behavioural therapy (iCBT) has been demonstrated to be cost- and clinically effective. There is a need, however, for increased therapist contact for some patient groups. Combining iCBT with traditional face-to-face (ftf) consultations in a blended format (B-CBT) may produce a new treatment format with multiple benefits from both traditional CBT and iCBT such as individual adaptation, lower costs than traditional therapy, wide geographical and temporal availability, and possibly lower threshold to implementation. The primary aim of the present study is to compare directly the clinical effectiveness of B-CBT with face-to-face CBT for adult major depressive disorder. The study is designed as a two arm randomised controlled non-inferiority trial comparing blended CBT for adult depression with treatment as usual (TAU). In the blended condition six sessions of ftf CBT is alternated with six to eight online modules (NoDep). TAU is defined as 12 sessions of ftf CBT. The primary outcome is symptomatic change of depressive symptoms on the patient-health questionnaire (PHQ-9). Additionally, the study will include an economic evaluation. All participants must be 18 years of age or older and meet the diagnostic criteria for major depressive disorder according to the Diagnostic and Statistical Manual of Mental disorders 4th edition. Participants are randomised on an individual level by a researcher not involved in the project. The primary outcome is analysed by regressing the three-month follow-up PHQ-9 data on the baseline PHQ-9 score and a treatment group indicator using ancova. A sample size of 130 in two balanced groups will yield a power of at least 80% to detect standardised mean differences above 0.5 on a normally distributed variable. This study design will compare B-CBT and ftf CBT in a concise and direct manner with only a minimal of the variance explained by differences in therapeutic content. On the other hand, while situated in routine care

  13. Randomized controlled trial of parent-enhanced CBT compared with individual CBT for obsessive-compulsive disorder in young people.

    Science.gov (United States)

    Reynolds, Shirley A; Clark, Sarah; Smith, Holly; Langdon, Peter E; Payne, Ruth; Bowers, Gemma; Norton, Elisabeth; McIlwham, Harriet

    2013-12-01

    Obsessive-compulsive disorder (OCD) in young people can be effectively treated with Cognitive Behavior Therapy (CBT). Practice guidelines in the United Kingdom recommend that CBT be delivered with parental or family involvement; however, there is no evidence from randomized trials that this enhances effectiveness. The aim of this trial was to assess if CBT with high parental involvement was more effective than CBT with low parental involvement (individual CBT) in reducing symptoms of OCD. Fifty young people ages 12-17 years with OCD were randomly allocated to individual CBT or parent-enhanced CBT. In parent-enhanced CBT parents attended all treatment sessions; in individual CBT, parents attended only Sessions 1, 7, and the final session. Participants received up to 14 sessions of CBT. Data were analyzed using intent-to-treat and per-protocol methods. The primary outcome measure was the Children's Yale-Brown Obsessive Compulsion Scale (Scahill et al., 1997). Both forms of CBT significantly reduced symptoms of OCD and anxiety. Change in OCD symptoms was maintained at 6 months. Per-protocol analysis suggested that parent-enhanced CBT may be associated with significantly larger reductions in anxiety symptoms. High and low parental involvement in CBT for OCD in young people were both effective, and there was no evidence that 1 method of delivery was superior on the primary outcome measure. However, this study was small. Future trials should be adequately powered and examine interactions with the age of the young person and comorbid anxiety disorders.

  14. The efficacy and effectiveness of online CBT

    NARCIS (Netherlands)

    Ruwaard, J.-J.

    2013-01-01

    In 1997, researches at the University of Amsterdam developed one of the first psychotherapeutic applications of the World Wide Web. The implemented a standardized cognitive behavioural treatment (CBT) of post-traumatic stress symptoms in a website, and used this site to treat clients over the

  15. Improving the Efficiency of Psychotherapy for Depression: Computer-Assisted Versus Standard CBT.

    Science.gov (United States)

    Thase, Michael E; Wright, Jesse H; Eells, Tracy D; Barrett, Marna S; Wisniewski, Stephen R; Balasubramani, G K; McCrone, Paul; Brown, Gregory K

    2018-03-01

    The authors evaluated the efficacy and durability of a therapist-supported method for computer-assisted cognitive-behavioral therapy (CCBT) in comparison to standard cognitive-behavioral therapy (CBT). A total of 154 medication-free patients with major depressive disorder seeking treatment at two university clinics were randomly assigned to either 16 weeks of standard CBT (up to 20 sessions of 50 minutes each) or CCBT using the "Good Days Ahead" program. The amount of therapist time in CCBT was planned to be about one-third that in CBT. Outcomes were assessed by independent raters and self-report at baseline, at weeks 8 and 16, and at posttreatment months 3 and 6. The primary test of efficacy was noninferiority on the Hamilton Depression Rating Scale at week 16. Approximately 80% of the participants completed the 16-week protocol (79% in the CBT group and 82% in the CCBT group). CCBT met a priori criteria for noninferiority to conventional CBT at week 16. The groups did not differ significantly on any measure of psychopathology. Remission rates were similar for the two groups (intent-to-treat rates, 41.6% for the CBT group and 42.9% for the CCBT group). Both groups maintained improvements throughout the follow-up. The study findings indicate that a method of CCBT that blends Internet-delivered skill-building modules with about 5 hours of therapeutic contact was noninferior to a conventional course of CBT that provided over 8 additional hours of therapist contact. Future studies should focus on dissemination and optimizing therapist support methods to maximize the public health significance of CCBT.

  16. Information technologies to improve public health: a systematic review.

    Science.gov (United States)

    Manhas, Melissa; Kuo, Mu-Hsing

    2015-01-01

    This systematic review examines a total of eighteen studies on the use of health information technologies to improve public health. Health information technologies are tools that allow for the management of health information in computerized systems. Health information technology, including electronic health records, computers/emails, social media, and cellphones/text messaging are becoming widespread and readily accessible to populations around the globe. In this review, the use of these technologies and interventions are discussed and evaluated for their potential to improve public health. This review found some good-quality evidence on the use of electronic health records and little good-quality evidence on the use of email, social media, cell phones and text messaging to improve healthcare, illustrating the need for further study in these areas.

  17. Public participation in the evaluation of innovative environmental cleanup technology

    International Nuclear Information System (INIS)

    Peterson, T.; McCabe, G.; Serie, P.; Niesen, K.

    1994-08-01

    Technologies for remediation of contamination are urgently needed to clean up US Department of Energy (DOE) sites across the country. DOE is managing a national program to develop, demonstrate, and deploy new technologies with promise to expedite this cleanup. The Integrated Demonstration for Cleanup of Volatile Organic Compounds at Arid Sites (VOC-Arid ID) is one such effort. Time and resources, however, are too limited to be invested in methods of remediation that will never be deployed because they have not been rigorously evaluated or because they face the withering opposition of stakeholders. Therefore the VOC-Arid ID is assessing technology both in terms of its technical effectiveness and its stakeholder acceptability. Only if a technology performs as required and is acceptable to regulators, users of technology, and the public will the VOC-Arid ID recommend its use. What distinguishes public involvement in the VOC-Arid ID is the direct influence stakeholders have on the design of technology demonstrations by working directly with technology developers. Stakeholders participated in defining the criteria with which innovative environmental cleanup technology is being evaluated. The integrated demonstration is committed to providing stakeholders with the information they've indicated they need to reach reasoned judgments about the use of specific cleanup technologies. A guiding principle of the VOC-Arid ID is that stakeholder participation improves the technologies being developed, enhances the acceptance of the technologies, and will lead to the broad and timely deployment of appropriate and effective methods of environmental remediation. The VOC-Arid ID has involved stakeholders from the host demonstration site, Hanford, Washington, and from other and sites where the ID technologies may be deployed

  18. [An exploratory study of 'blended' cognitive behavioural therapy (CBT) for patients with a panic disorder: results and patients' experiences].

    Science.gov (United States)

    Bruinsma, A; Kampman, M; Exterkate, C C; Hendriks, G J

    2016-01-01

    Digital technology (e-health or 'blended' care), combined with evidence-based face-to-face CBT, is becoming increasingly implemented into mental health care and is expected to result in improved effectiveness and efficiency. To explore the feasibility of blended CBT for patients with a panic disorder. Nine face-to-face sessions of blended CBT (n = 18), supplemented with the digital support of a tabletcomputer and three e-mail contacts, were compared with 12 weekly sessions of regular CBT (n = 18). Primary outcomes were panic frequency and avoidance behaviour; the secondary outcome was general functioning. Patients' experiences of the treatment were collected in the form of a structured interview. The effect sizes found in both the regular and the blended CBT were medium to high (Cohen's d 0.42-1.60). In both types of treatment there was a significant reduction in patients' symptoms. There were no big differences in patient satisfaction regarding the treatment received. The therapists registered 39 face-to-face minutes in the blended treatment but they registered in total 41 fewer face-to-face minutes; this represented a time reduction of 4%. Blended CBT with help of a tablet computer seems to be a suitable method for treating panic disorder psychologically, although the time saved is only moderate. Much more research is needed to ascertain the feasibility and the cost effectiveness of blended CBT.

  19. An open trial of in-home CBT for depressed mothers in home visitation.

    Science.gov (United States)

    Ammerman, Robert T; Putnam, Frank W; Stevens, Jack; Bosse, Nicole R; Short, Jodie A; Bodley, Amy L; Van Ginkel, Judith B

    2011-11-01

    Research has demonstrated that low income mothers participating in home visitation programs have high rates of depression. This study used an open trial design to evaluate In-Home Cognitive Behavioral Therapy (IH-CBT), an evidence-based treatment for depression that is delivered in the home setting and has been adapted to address the needs of low income mothers participating in home visitation. 64 depressed mothers recruited from a home visitation program and who had completed IH-CBT were compared to 241 mothers from the same setting who met identical screening criteria at enrollment but did not receive the treatment. In addition, pre- and post-treatment measures of depression and related clinical features were contrasted in the 64 mothers receiving IH-CBT. There was a significantly greater reduction in depressive symptoms in the IH-CBT group relative to their counterparts who did not receive the treatment. Results from pre-post comparisons showed that treated mothers had decreased diagnosis of major depression, lower reported stress, increased coping and social support, and increased positive views of motherhood at post-treatment. Findings suggest that IH-CBT is a promising approach to addressing maternal depression in the context of home visitation and warrants further study. Public health implications for home visiting programs are discussed.

  20. Control of technology as a public and private task

    International Nuclear Information System (INIS)

    Kirchhof, P.

    1988-01-01

    In the opinion of the author the control of technology is as well a public as a private task. But due to the constitutional order first of all it is incumbent on the state to control technical installations. This state supervisory function cannot be replaced by private self-control. (WG) [de

  1. Measuring Public Acceptance of Nuclear Technology with Big data

    International Nuclear Information System (INIS)

    Roh, Seugkook

    2015-01-01

    Surveys can be conducted only on people in specific region and time interval, and it may be misleading to generalize the results to represent the attitude of the public. For example, opinions of a person living in metropolitan area, far from the dangers of nuclear reactors and enjoying cheap electricity produced by the reactors, and a person living in proximity of nuclear power plants, subject to tremendous damage should nuclear meltdown occur, certainly differs for the topic of nuclear generation. To conclude, big data is a useful tool to measure the public acceptance of nuclear technology efficiently (i.e., saves cost, time, and effort of measurement and analysis) and this research was able to provide a case for using big data to analyze public acceptance of nuclear technology. Finally, the analysis identified opinion leaders, which allows target-marketing when policy is executed

  2. Energy and the European public opinion: options and technologies

    International Nuclear Information System (INIS)

    Poireau, M.; Rossetti Divaldalbero, D.; Huemer, M.

    2003-01-01

    What is the attitude of the Europeans concerning energy and energy technology? This is the question that the Department of Research (working with the Department of Energy and Transport) of the European Commission has attempted to answer with the launch of its 'Eurobarometer' survey to gauge European public opinion. Launched under the 'Science and Society' banner, one of the new priorities of the sixth framework research and technological development programme of the European Union, this 'Eurobarometer' is aimed at helping us to better understand the perceptions of the public in Europe vis-a-vis energy and to highlight questions to be discussed for the future of energy technology with regard to social acceptability. (authors)

  3. Publications in academic medical centers: technology-facilitated culture clash.

    Science.gov (United States)

    Berner, Eta S

    2014-05-01

    Academic culture has a set of norms, expectations, and values that are sometimes tacit and sometimes very explicit. In medical school and other health professions educational settings, probably the most common norm includes placing a high value on peer-reviewed research publications, which are seen as the major evidence of scholarly productivity. Other features of academic culture include encouraging junior faculty and graduate students to share their research results at professional conferences and lecturing with slides as a major way to convey information. Major values that faculty share with journal editors include responsible conduct of research and proper attribution of others' words and ideas. Medical school faculty also value technology and are often quick to embrace technological advances that can assist them in their teaching and research. This article addresses the effects of technology on three aspects of academic culture: education, presentations at professional meetings, and research publications.The technologies discussed include online instruction, dissemination of conference proceedings on the Internet, plagiarism-detection software, and new technologies deployed by the National Center for Biotechnology Information, the home of PubMed. The author describes how the ease of deploying new technologies without faculty changing their norms and behavior in the areas of teaching and research can lead to conflicts of values among key stakeholders in the academic medical community, including faculty, journal editors, and professional associations. The implications of these conflicts and strategies for managing them are discussed.

  4. Exploration of public acceptance regarding CO2 underground sequestration technologies

    International Nuclear Information System (INIS)

    Uno, M.; Tokushige, K.; Mori, Y.; Furukawa, A.

    2005-01-01

    Mechanisms for gaining public acceptance of carbon dioxide (CO 2 ) aquifer sequestration were investigated through the use of questionnaires and focus group interviews. The study was performed as part of a CO 2 sequestration technology promotion project in Japan. The questionnaire portion of the study was conducted to determine public opinions and the extent of public awareness of CO 2 sequestration technologies. Questionnaires were distributed to undergraduate students majoring in environmental sociology. Participants were provided with newspaper articles related to CO 2 sequestration. The focus group study was conducted to obtain qualitative results to complement findings from the questionnaire survey. Results of the survey suggested that many participants were not particularly concerned about global warming, and had almost no knowledge about CO 2 sequestration. The opinions of some students were influenced by an awareness of similar types of facilities located near their homes. Attitudes were also influenced by the newspaper articles provided during the focus group sessions. However, many older participants did not trust information presented to them in newspaper format. Results suggested that many people identified afforestation as an alternative technology to CO 2 sequestration, and tended to think of CO 2 in negative terms as it contributed to global warming. Some participants assumed that CO 2 was harmful. The majority of respondents agreed with the development of CO 2 sequestration technologies as part of a program of alternative emissions abatement technologies. The provision of detailed information concerning CO 2 sequestration did not completely remove anxieties concerning the technology's potential negative impacts. It was concluded that a confident communications strategy is needed to persuade Japanese residents of the need to implement CO 2 sequestration technologies. 11 refs., 2 figs

  5. Manage Anxiety Through CBT: Teach Yourself

    OpenAIRE

    Dryden, Windy

    2011-01-01

    Using the proven techniques of cognitive behavioural therapy, this book will show you how to manage your anxiety, in whatever form it appears, from phobias to panic attacks and general anxiety disorder. You will receive support for understanding with and coping with different types of anxiety, using CBT to manage your symptoms and alleviate much of your distress. You will also learn how to be more resilient and accepting of all your thoughts, fears and emotions, and discover new, healthier wa...

  6. Pharmacogenomic technologies: a necessary "luxury" for better global public health?

    Science.gov (United States)

    Olivier, Catherine; Williams-Jones, Bryn

    2011-08-24

    Pharmacogenomic technologies aim to redirect drug development to increase safety and efficacy of individual care. There is much hope that their implementation in the drug development process will help respond to population health needs, particularly in developing countries. However, there is also fear that novel pharmacogenomic drugs will remain too costly, be designed for the needs of the wealthy nations, and so constitute an unnecessary "luxury" for most populations. In this paper, we analyse the promise that pharmacogenomic technologies hold for improving global public health and identify strategies and challenges associated with their implementation. This paper evaluates the capacity of pharmacogenomic technologies to meet six criteria described by the University of Toronto Joint Centre for Bioethics group: 1) impact of the technology, 2) technology appropriateness, 3) capacity to address local burdens, 4) feasibility to be implemented in reasonable time, 5) capacity to reduce the knowledge gap, and 6) capacity for indirect benefits. We argue that the implementation of pharmacogenomic technologies in the drug development process can positively impact population health. However, this positive impact depends on how and for which purposes the technologies are used. We discuss the potential of these technologies to stimulate drug discovery in the case of rare (orphan diseases) or neglected diseases, but also to reduce acute adverse drug reactions in infectious disease treatment and prevention, which promises to improve global public health. The implementation of pharmacogenomic technologies may lead to the development of drugs that appear to be a "luxury" for populations in need of numerous interventions that are known to have a demonstrable impact on population health (e.g., secure access to potable water, reduction of social inequities, health education). However, our analysis shows that pharmacogenomic technologies do have the potential to redirect drug

  7. Risks perception and the public acceptance of nuclear technology

    International Nuclear Information System (INIS)

    Ferreira, Walter Mendes; Gavazza, Sergio; Estrada, Julio J.S.

    2000-01-01

    This work establishes a methodology to evaluate the public acceptance of nuclear technology taking into consideration several risk concepts. Basic concepts of the nuclear science were transmitted, in form of lectures and courses, to the 13,439 Goiania residents, after the closing of the decontamination works, caused by the violation of the source of 137 Cs, of a teletherapy machine, in 1987. The results of the indicators shown that public's individuals perceive radiation risks and develop behaviors according to a constructive outline. The public does not know technical terms, being quite influenced by media, from where gets information of interest. The public orders the risks, relating them to accidents according to subjective criteria and models them as unknown, new and not observed at short period, establishing destruction, environmental catastrophe and diseases images. (author)

  8. Bioremediation, regulatory agencies and public acceptance of this technology

    International Nuclear Information System (INIS)

    Westlake, D. W. S.

    1997-01-01

    The technology of bioremediation, i.e. the utilization of microorganisms to degrade environmental pollutants, the dangers and consequences inherent in the large-scale use of microbial organisms in such processes, and the role of regulatory agencies in the utilization and exploitation of bioremediation technologies, were discussed. Factors influencing public acceptance of bioremediation as a satisfactory tool for cleaning up the environment vis-a-vis other existing and potential rehabilitation techniques were also reviewed. The ambiguity of regulatory agencies in the matter of bioremediation was noted. For example, there are many regulatory hurdles relative to the testing, use and approval of transgenic microorganisms for use in bioremediation. On the other hand, the use and release of engineered plants is considered merely another form of hybrid and their endorsement is proceeding rapidly. With regard to public acceptance, the author considered bioremediation technology as too recent, with not enough successful applications to attract public attention. Although the evidence suggests that bioremediation is environmentally safe, the efficacy, reliability and predictability of the various technologies have yet to be demonstrated. 25 refs

  9. Application of GIS technology in public health: successes and challenges.

    Science.gov (United States)

    Fletcher-Lartey, Stephanie M; Caprarelli, Graziella

    2016-04-01

    The uptake and acceptance of Geographic Information Systems (GIS) technology has increased since the early 1990s and public health applications are rapidly expanding. In this paper, we summarize the common uses of GIS technology in the public health sector, emphasizing applications related to mapping and understanding of parasitic diseases. We also present some of the success stories, and discuss the challenges that still prevent a full scope application of GIS technology in the public health context. Geographical analysis has allowed researchers to interlink health, population and environmental data, thus enabling them to evaluate and quantify relationships between health-related variables and environmental risk factors at different geographical scales. The ability to access, share and utilize satellite and remote-sensing data has made possible even wider understanding of disease processes and of their links to the environment, an important consideration in the study of parasitic diseases. For example, disease prevention and control strategies resulting from investigations conducted in a GIS environment have been applied in many areas, particularly in Africa. However, there remain several challenges to a more widespread use of GIS technology, such as: limited access to GIS infrastructure, inadequate technical and analytical skills, and uneven data availability. Opportunities exist for international collaboration to address these limitations through knowledge sharing and governance.

  10. Agents unleashed a public domain look at agent technology

    CERN Document Server

    Wayner, Peter

    1995-01-01

    Agents Unleashed: A Public Domain Look at Agent Technology covers details of building a secure agent realm. The book discusses the technology for creating seamlessly integrated networks that allow programs to move from machine to machine without leaving a trail of havoc; as well as the technical details of how an agent will move through the network, prove its identity, and execute its code without endangering the host. The text also describes the organization of the host's work processing an agent; error messages, bad agent expulsion, and errors in XLISP-agents; and the simulators of errors, f

  11. Overcoming negative tendencies concerning public attitude to potentially dangerous technologies

    International Nuclear Information System (INIS)

    Barinov, A.; Shmelev, S.

    1995-01-01

    The Moscow Scientific industrial Association RADON is an enterprise with potentially dangerous technology. RADON fulfils the collection, transportation, treatment and disposal of radioactive waste from Moscow region. The inhabitants of this region consider it, and that is true, to be essentially dangerous. We understood, that it is necessary to change the situation and give the public the true information about RADON's activity. For this purpose 4 years ago we developed a new Department, the Department or External Relations

  12. Communicating with the public: space of nuclear technology

    International Nuclear Information System (INIS)

    Maffei, Patricia Martinez; Aquino, Afonso Rodrigues; Gordon, Ana Maria Pinho Leite; Oliveira, Rosana Lagua de; Padua, Rafael Vicente de; Vieira, Martha Marques Ferreira; Vicente, Roberto

    2011-01-01

    For two decades the Nuclear and Energy Research Institute (IPEN) has been developing activities for popularization of its R and D activities in the nuclear field. Some of the initiatives already undertaken by IPEN are lectures at schools, guided visits to IPEN facilities, printed informative material, FAQ page in the Web, and displays in annual meetings and technology fairs highlighting its achievements. In order to consolidate these initiatives, IPEN is planning to have a permanent Space of Nuclear Technology (SNT), aiming at introducing students, teachers and the general public to the current applications of nuclear technology in medicine, industry, research, electric power generation, etc. It is intended as an open room to the public and will have a permanent exhibit with historical, scientific, technical and cultural developments of nuclear technology and will also feature temporary exhibitions about specific themes. The space will display scientific material in different forms to allow conducting experiments to demonstrate some of the concepts associated with the properties of nuclear energy, hands-on programs and activities that can be customized to the students' grade level and curriculum. (author)

  13. The private-public cooperation in innovation trough technology centres

    International Nuclear Information System (INIS)

    Callejon, M.; Barge-Gil, A.; Lopez, A.

    2007-01-01

    The Technology Centres (TCS) are important suppliers of technology for Spanish firms. The objective of this paper is to improve the knowledge about Spanish TCS. Firstly, we present the main characteristics and the evolution of the Spanish TCS. The second question examined refers to the great heterogeneity of this kind of agents. In this sense, we present a cluster analysis using two basic characteristics of the TCS: services to firms and technological strength. Thirdly, we analyze the adjustment of the TCS to the National Innovation System and their foreseeable evolution as basic agents of this system. Finally, we summarize the programs of public support for TCS started up by the Ministry of Industry, Tourism and Trade. (Author) 11 refs

  14. Transdiagnostic group CBT for anxiety disorders

    DEFF Research Database (Denmark)

    Reinholt, Nina; Aharoni, Ruth; Winding, Clas

    2017-01-01

    to Mental Health Services. Pre-post-treatment effects were examined for psychiatric outpatients with anxiety disorders receiving UP treatment in groups. Forty-seven patients (mean-age = 34.1 (SD = 9.92), 77% females) with a principal diagnosis of anxiety were included. We found significant and clinically....... The treatment effects found in the present study correspond to treatment effects of other TCBT studies, other UP group studies, and effectiveness studies on standard CBT for outpatients. The results indicate that the UP can be successfully applied to a MHS group setting, demonstrating positive effects...

  15. Cost-effectiveness of CBT, SSRI, and CBT+SSRI in the treatment for panic disorder

    NARCIS (Netherlands)

    van Apeldoorn, F. J.; Stant, A. D.; van Hout, W. J. P. J.; Mersch, P. P. A.; den Boer, J. A.

    Objective The objective of this study was to assess the cost-effectiveness of three empirically supported treatments for panic disorder with or without agoraphobia: cognitive behavioral therapy (CBT), pharmacotherapy using a selective serotonin reuptake inhibitor (SSRI), or the combination of both

  16. Development of public health assurance technology by radiation

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Dong Ho; Lim, Sang Yong; Yang, Jae Seung (and others)

    2007-07-15

    This project was performed to develop the radiation sterilization process of public health products and RT/BT fusion technology and to secure a detection and quarantine system of irradiated food. To establish the radiation sterilization of public health goods, current status of radiation sterilization of disposable medical equipment was investigated and the manufacturing process of disposable media for microbial cultivation were developed using a gamma sterilization. In addition, microbial contamination of disposable kitchen utensils was surveyed and pathogen-free organic compost was developed by radiation sterilization. The radiation responses of bacteria including Salmonella, Vibrio, E. coli, and D. radiodurans were analyzed by DNA chip and 2-D electrophoresis. To validate the safety of surviving bacteria after irradiation, the expressions of virulence genes of pathogenic bacteria were monitored using real-time PCR, and the growth of mycotoxin-producing funguses was studied after irradiation. And also, quantitative detection methods of irradiated and inactivated Salmonella using a real-time PCR and a immuno assay. To establish the quarantine and quality assurance of irradiated food and public health products, radiation technology was applied to the fermented foods, minimally processed food and dried vegetables. Radiation effects on insects was examined and the corresponding data base was constructed. We also collaborated on the preliminary test of international trade of sea food with USA or India. To establish the official detection method of irradiated food, physical, chemical and biological detection methods for irradiated food were verified. Finally, multiple range test of irradiated food was performed.

  17. Development of public health assurance technology by radiation

    International Nuclear Information System (INIS)

    Kim, Dong Ho; Lim, Sang Yong; Yang, Jae Seung

    2007-07-01

    This project was performed to develop the radiation sterilization process of public health products and RT/BT fusion technology and to secure a detection and quarantine system of irradiated food. To establish the radiation sterilization of public health goods, current status of radiation sterilization of disposable medical equipment was investigated and the manufacturing process of disposable media for microbial cultivation were developed using a gamma sterilization. In addition, microbial contamination of disposable kitchen utensils was surveyed and pathogen-free organic compost was developed by radiation sterilization. The radiation responses of bacteria including Salmonella, Vibrio, E. coli, and D. radiodurans were analyzed by DNA chip and 2-D electrophoresis. To validate the safety of surviving bacteria after irradiation, the expressions of virulence genes of pathogenic bacteria were monitored using real-time PCR, and the growth of mycotoxin-producing funguses was studied after irradiation. And also, quantitative detection methods of irradiated and inactivated Salmonella using a real-time PCR and a immuno assay. To establish the quarantine and quality assurance of irradiated food and public health products, radiation technology was applied to the fermented foods, minimally processed food and dried vegetables. Radiation effects on insects was examined and the corresponding data base was constructed. We also collaborated on the preliminary test of international trade of sea food with USA or India. To establish the official detection method of irradiated food, physical, chemical and biological detection methods for irradiated food were verified. Finally, multiple range test of irradiated food was performed

  18. Brief culturally adapted CBT (CaCBT) for depression: a randomized controlled trial from Pakistan.

    Science.gov (United States)

    Naeem, Farooq; Gul, Mirrat; Irfan, Muhammad; Munshi, Tariq; Asif, Aftab; Rashid, Sadaf; Khan, Muhammad Nasar Sayeed; Ghani, Sadaf; Malik, Azmat; Aslam, Muhammad; Farooq, Saeed; Husain, Nusrat; Ayub, Muhammad

    2015-05-15

    To determine the efficacy of brief Culturally adapted CBT (CaCBT) for depression when added to Treatment As usual (TAU)-delivered by trained therapists using a manual compared with alone TAU. This was an assessor-blinded, randomised controlled clinical trial. Particpants with a diagnosis of depression, attending psychiatry departments of three teaching hospitals in Lahore, Pakistan, were included in the study. We screened a total of 280 patients and randomly allocated 137 of them to CaCBT plus Treatment As Usual (TAU) [Treatment group] or to TAU alone [Control group]. Assessments were completed at baseline, at 3 months and at 9 months after baseline. Reduction in depression score (Hospital Anxiety and Depression-Depression Subscale) at 3 months was primary outcome measure. The secondary outcome measures included anxiety scores (Hospital Anxiety and Depression-Anxiety Subscale), somatic symptoms (Bradford Somatic Inventory), disability (Brief Disability Questionnaire) and satisfaction with the treatment. A total of 69 participants were randomised to Treatment group and 68 to Control group. Participants in Treatment group showed statistically significant improvement in depression (p=0.000), anxiety (p=0.000), somatic symptoms (p=0.005) and disability (p=0.000). This effect was sustained at 9 months after baseline (Except for disability). Participants in Treatment group also reported higher satisfaction with treatment compared with those in Control group. Brief CaCBT can be effective in improving depressive symptoms, when compared with treatment as usual. This is the first report of a trial of Culturally adapted CBT from South Asia and further studies are needed to generalise these findings. Copyright © 2015 Elsevier B.V. All rights reserved.

  19. Public attitudes toward political and technological options for biofuels

    International Nuclear Information System (INIS)

    Delshad, Ashlie B.; Raymond, Leigh; Sawicki, Vanessa; Wegener, Duane T.

    2010-01-01

    This paper explores detailed public attitudes regarding the expanding range of biofuels technologies and policy options. Subjects from 34 in-depth focus groups in central Indiana were fairly knowledgeable about biofuels technologies, but uninformed about biofuels policies despite being from a state where biofuels are a salient political issue. A narrow majority was supportive of biofuels in general, but expressed greater enthusiasm about 'second generation' biofuels. Subject beliefs about biofuels' economic and environmental impacts were most important in shaping these opinions, rather than concerns about energy independence or other issues. In terms of policy options, subjects were most supportive of an alternative fuels standard and least supportive of a fixed subsidy and a cap and trade policy. In contrast to arguments about technologies, participants primarily framed their attitudes toward policies in terms of fairness. Although discussion did not substantially change aggregate preferences for most policies, it did increase support significantly for at least one policy proposal-a variable subsidy for ethanol. It is particularly noteworthy that subjects generally did not support the most common biofuel technology-corn-based ethanol-or the most prominent biofuels policy option-the fixed subsidy-despite residing in a state hosting a strong corn industry and staunch political advocates for both positions.

  20. Social Perception of Science and Technology Governance. Experts vs. Public

    Directory of Open Access Journals (Sweden)

    Betty Estévez Cedeño

    2010-07-01

    Full Text Available Science and technology governance has been a recurrent topic for debate in the recent years, both in the academic and the government areas. The perception of the governance of science from an expert’s point of view is a result of the empirical work carried out among the different players who design the science and technology regional policies in Spain. This analysis is completed with the Spanish citizen's appreciation on this subject, gotten from the national survey of social perception of science and technology carried out by the Spanish Foundation for Science and Technology (FECYT. The study shows that experts and the public consider a dialog among them as appropriate to build the governance of science. The public’s interest in these issues may causes that its responsibility is transferred to the experts. Furthermore, there is an ambivalent vision regarding the role citizens must play in this sort of actions. The lack of spaces and put into practice the appropriate methods so that a dialog between experts and stakeholders is still an unresolved matter in order to build up some good governance.

  1. Causality between public policies and exports of renewable energy technologies

    International Nuclear Information System (INIS)

    Sung, Bongsuk; Song, Woo-Yong

    2013-01-01

    This article investigates the causal relationship between public policies and exports of renewable energy technologies using panel data from 18 countries for the period 1991–2007. A number of panel unit root and cointegration tests are applied. Time series data on public policies and exports are integrated and cointegrated. The dynamic OLS results indicate that in the long run, a 1% increase in government R and D expenditures (RAD) increases exports (EX) by 0.819%. EX and RAD variables respond to deviations from the long-run equilibrium in the previous period. Additionally, the Blundell–Bond system generalized methods of moments (GMM) is employed to conduct a panel causality test in a vector error-correction mechanism (VECM) setting. Evidence of a bidirectional and short-run, and strong causal relationship between EX and the contribution of renewable energy to the total energy supply (CRES) is uncovered. CRES has a negative effect on EX, whereas EX has a positive effect on CRES. We suggest some policy implications based on the results of this study. - Highlights: ► We model VECM to test the Granger causality between the policies and the export. ► Technology-push policy has a positive impact on export in the long-run. ► There are the short-run causal relationships between market-pull policy and export

  2. Modifying CBT for Perinatal Depression: What Do Women Want?

    Science.gov (United States)

    O'Mahen, Heather; Fedock, Gina; Henshaw, Erin; Himle, Joseph A.; Forman, Jane; Flynn, Heather A.

    2012-01-01

    The evidence for the efficacy of CBT for depression during the perinatal period is mixed. This was a qualitative study that aimed to understand the perinatal-specific needs of depressed women in an effort to inform treatment modifications that may increase the relevance and acceptability of CBT during this period. Stratified purposeful sampling…

  3. Clinical relevance of findings in trials of CBT for depression

    NARCIS (Netherlands)

    Lepping, P.; Whittington, R.; Sambhi, R.S.; Lane, S.; Poole, R.; Leucht, S.; Cuijpers, P.; McCabe, R.; Waheed, W.

    2017-01-01

    Cognitive behavioural therapy (CBT) is beneficial in depression. Symptom scores can be translated into Clinical Global Impression (CGI) scale scores to indicate clinical relevance. We aimed to assess the clinical relevance of findings of randomised controlled trials (RCTs) of CBT in depression. We

  4. Improving the Transportability of CBT for Internalizing Disorders in Children

    Science.gov (United States)

    Elkins, R. Meredith; McHugh, R. Kathryn; Santucci, Lauren C.; Barlow, David H.

    2011-01-01

    Research provides strong support for the efficacy and effectiveness of cognitive behavioral therapy (CBT) for the treatment of childhood internalizing disorders. Given evidence for limited dissemination and implementation of CBT outside of academic settings, efforts are underway to improve its transportability so that more children with mental…

  5. Development and Validation of the Negative Attitudes towards CBT Scale.

    Science.gov (United States)

    Parker, Zachary J; Waller, Glenn

    2017-11-01

    Clinicians commonly fail to use cognitive behavioural therapy (CBT) adequately, but the reasons for such omissions are not well understood. The objective of this study was to create and validate a measure to assess clinicians' attitudes towards CBT - the Negative Attitudes towards CBT Scale (NACS). The participants were 204 clinicians from various mental healthcare fields. Each completed the NACS, measures of anxiety and self-esteem, and a measure of therapists' use of CBT and non-CBT techniques and their confidence in using those techniques. Exploratory factor analysis was used to determine the factor structure of the NACS, and scale internal consistency was tested. A single, 16-item scale emerged from the factor analysis of the NACS, and that scale had good internal consistency. Clinicians' negative attitudes and their anxiety had different patterns of association with the use of CBT and other therapeutic techniques. The findings suggest that clinicians' attitudes and emotions each need to be considered when understanding why many clinicians fail to deliver the optimum version of evidence-based CBT. They also suggest that training effective CBT clinicians might depend on understanding and targeting such internal states.

  6. Effectiveness of Modular CBT for Child Anxiety in Elementary Schools

    Science.gov (United States)

    Chiu, Angela W.; Langer, David A.; McLeod, Bryce D.; Har, Kim; Drahota, Amy; Galla, Brian M.; Jacobs, Jeffrey; Ifekwunigwe, Muriel; Wood, Jeffrey J.

    2013-01-01

    Most randomized controlled trials of cognitive-behavioral therapy (CBT) for children with anxiety disorders have evaluated treatment efficacy using recruited samples treated in research settings. Clinical trials in school settings are needed to determine if CBT can be effective when delivered in real world settings. This study evaluated a modular…

  7. A national survey of health service infrastructure and policy impacts on access to computerised CBT in Scotland

    Directory of Open Access Journals (Sweden)

    Kenicer David

    2012-09-01

    Full Text Available Abstract Background NICE recommends computerised cognitive behavioural therapy (cCBT for the treatment of several mental health problems such as anxiety and depression. cCBT may be one way that services can reduce waiting lists and improve capacity and efficiency. However, there is some doubt about the extent to which the National Health Service (NHS in the UK is embracing this new health technology in practice. This study aimed to investigate Scottish health service infrastructure and policies that promote or impede the implementation of cCBT in the NHS. Methods A telephone survey of lead IT staff at all health board areas across Scotland to systematically enquire about the ability of local IT infrastructure and IT policies to support delivery of cCBT. Results Overall, most of the health boards possess the required software to use cCBT programmes. However, the majority of NHS health boards reported that they lack dedicated computers for patient use, hence access to cCBT at NHS sites is limited. Additionally, local policy in the majority of boards prevent staff from routinely contacting patients via email, skype or instant messenger, making the delivery of short, efficient support sessions difficult. Conclusions Conclusions: Overall most of the infrastructure is in place but is not utilised in ways that allow effective delivery. For cCBT to be successfully delivered within a guided support model, as recommended by national guidelines, dedicated patient computers should be provided to allow access to online interventions. Additionally, policy should allow staff to support patients in convenient ways such as via email or live chat. These measures would increase the likelihood of achieving Scottish health service targets to reduce waiting time for psychological therapies to 18 weeks.

  8. [Can we do therapy without a therapist? Active components of computer-based CBT for depression].

    Science.gov (United States)

    Iakimova, G; Dimitrova, S; Burté, T

    2017-12-01

    -helps provided via an E-learning mode (Sadness, MoodGYM, ODIN), others adopt interactive software technologies (Deprexis, BTB), but their interactivity and the possibility of personalization is low. The C-CBTs use similar principles and techniques as in face-to -face CBT (e.g. self-evaluation, psychoeducation, cognitive restructuring, cognitive restructuring of schema, behavioral activation and agenda setting, problem solving techniques, communication and crisis management techniques, relaxation, principles of positive psychology and relapse prevention, positive reinforcement methods, motivational feedbacks, social learning, homework assignments and progress monitoring). The results of the 22 RCSs showed that both the effectiveness and the adherence of the unguided C-CBT is high with self-referred active help-seekers with major depression, but the latter is low with users who are depressed out-patients referred by general practitioners or clinicians. The presence of therapist support improves the effectiveness and the adherence of the C-CBT, especially in clinical out-patients. In light of the existing insight of the advantages and the inconvenient of the C-CBT, the actual challenge is to find its optimal clinical indication and the modality of its effective use in clinical populations. Copyright © 2016 L'Encéphale, Paris. Published by Elsevier Masson SAS. All rights reserved.

  9. Handbook of public communication of science and technology

    CERN Document Server

    Trench, Brian

    2008-01-01

    Comprehensive yet accessible, this key handbook provides an up-to-date overview of the fast growing and increasingly important area of 'public communication of science and technology', from both research and practical perspectives. As well as introducing the main issues, arenas and professional perspectives involved, it presents the findings of earlier research and the conclusions previously drawn. Unlike most existing books on this topic, this unique volume couples an overview of the practical problems faced by practitioners with a thorough review of relevant literature and research. The practical handbook format ensures it is a student-friendly resource, but its breadth of scope and impressive contributors means that it is also ideal for practitioners and professionals working in the field. Combining the contributions of different disciplines (media and journalism studies, sociology and history of science), the perspectives of different geographical and cultural contexts, and by selecting key contributions ...

  10. Predicting Public Bicycle Adoption Using the Technology Acceptance Model

    Directory of Open Access Journals (Sweden)

    Benjamin T. Hazen

    2015-10-01

    Full Text Available Bicycle sharing programs provide a sustainable mode of urban transportation. Although cities across the globe have developed these systems for their citizens and visitors, usage rates are not as high as anticipated. This research uses the technology acceptance model as the basis to understand one’s intention to adopt bicycle sharing programs. Using survey data derived from 421 participants in Beijing, China, the proposed covariance-based structural equation model consisting of perceived quality, perceived convenience, and perceived value is found to predict 50.5% of the variance in adoption intention. The findings of this research contribute to theory and practice in the burgeoning literature on public bicycle systems and sustainable urban transportation by offering a theoretical lens through which to consider system adoption, and providing information to practitioners as to what factors might contribute most to adoption.

  11. Public funding - a solution for technological SMEs and entrepreneurs

    Science.gov (United States)

    Emilia, Calefariu; Traian Alexandru, Buda

    2016-11-01

    Technological SMEs are in a constant struggle for growth or sometimes maintaining the production capacity, increase market share, supporting tax burden, ensuring employees' salaries, profit growth. They constantly consider short-term survival of the company, with trying to maintain a long-term uptrend for the business. Entrepreneurs are again in a position to access public financing under quite favorable conditions. The paper aims to analyze the opportunity of accessing these external financing options, which have both advantages and a series of long-term constraints which should not be excluded before the final decision to access this funding. New research is required, thus sustainable development can be maintained for the business environment in order to increase efficiency, competitiveness, sustainable development strategies that generate job security, regional growth and rewarding the risk-taking of the entrepreneur.

  12. Experiments in engagement: Designing public engagement with science and technology for capacity building.

    Science.gov (United States)

    Selin, Cynthia; Rawlings, Kelly Campbell; de Ridder-Vignone, Kathryn; Sadowski, Jathan; Altamirano Allende, Carlo; Gano, Gretchen; Davies, Sarah R; Guston, David H

    2017-08-01

    Public engagement with science and technology is now widely used in science policy and communication. Touted as a means of enhancing democratic discussion of science and technology, analysis of public engagement with science and technology has shown that it is often weakly tied to scientific governance. In this article, we suggest that the notion of capacity building might be a way of reframing the democratic potential of public engagement with science and technology activities. Drawing on literatures from public policy and administration, we outline how public engagement with science and technology might build citizen capacity, before using the notion of capacity building to develop five principles for the design of public engagement with science and technology. We demonstrate the use of these principles through a discussion of the development and realization of the pilot for a large-scale public engagement with science and technology activity, the Futurescape City Tours, which was carried out in Arizona in 2012.

  13. Technology, conflict early warning systems, public health, and human rights.

    Science.gov (United States)

    Pham, Phuong N; Vinck, Patrick

    2012-12-15

    Public health and conflict early warning are evolving rapidly in response to technology changes for the gathering, management, analysis and communication of data. It is expected that these changes will provide an unprecedented ability to monitor, detect, and respond to crises. One of the potentially most profound and lasting expected change affects the roles of the various actors in providing and sharing information and in responding to early warning. Communities and civil society actors have the opportunity to be empowered as a source of information, analysis, and response, while the role of traditional actors shifts toward supporting those communities and building resilience. However, by creating new roles, relationships, and responsibilities, technology changes raise major concerns and ethical challenges for practitioners, pressing the need for practical guidelines and actionable recommendations in line with existing ethical principles. Copyright © 2012 Pham and Vinck. This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original author and source are credited.

  14. Computerised CBT for depressed adolescents: Randomised controlled trial.

    Science.gov (United States)

    Smith, Patrick; Scott, Rebecca; Eshkevari, Ertimiss; Jatta, Fatoumata; Leigh, Eleanor; Harris, Victoria; Robinson, Alex; Abeles, Paul; Proudfoot, Judy; Verduyn, Chrissie; Yule, William

    2015-10-01

    Depression in adolescents is a common and impairing problem. Effective psychological therapies for depression are not accessed by most adolescents. Computerised therapy offers huge potential for improving access to treatment. To test the efficacy of Stressbusters, a Computerised-CBT (C-CBT) programme for depression in young people. Multi-site, schools-based, RCT of C-CBT compared to Waiting List, for young people (N = 112; aged 12-16) with significant symptoms of depression, using multiple-informants (adolescents, parents, teachers), with follow-up at 3 and 6 months. Relative to being on a Waiting List, C-CBT was associated with statistically significant and clinically meaningful improvements in symptoms of depression and anxiety according to adolescent self-report; and with a trend towards improvements in depression and anxiety according to parent-report. Improvements were maintained at follow-up. Treatment gains were similar for boys and girls across the participating age range. Treatment effect was partially mediated by changes in ruminative thinking. Teachers rated adolescents as having few emotional or behavioural problems, both before and after intervention. C-CBT had no detectable effect on academic attainment. In the month after intervention, young people who received C-CBT had significantly fewer absences from school than those on the Waiting List. C-CBT shows considerable promise for the treatment of mild-moderate depression in adolescents. Copyright © 2015 Elsevier Ltd. All rights reserved.

  15. Evaluating the Comparability of PPT and CBT by Implementing the Compulsory Islamic Culture Course Test in Jordan University

    Directory of Open Access Journals (Sweden)

    Abdelnaser Sanad Alakyleh

    2017-12-01

    Full Text Available Study aims to determine whether the university students' scores in the compulsory Islamic culture course test on a selected sample differ across the paper-and pencil test (PPT & computer-based test (CBT versions, and to reveal the relationship between gender and the student's level of performance in the test. Therefore, the study evaluated the comparability of two versions of a compulsory Islamic culture course test (PPTs and (CBTs. The importance of conducting the study in Jordan stems from the fact that public and private universities have begun to move away from the traditional patterns of tests such (PPTs and went towards (CBTs. In addition to detecting which model gives the best in the output and has the characteristics of the psychometric test, furthermore, indicates whether there were any differences between males and females, the study sample consisted of 120 individuals, 67 females and 53 males from scientific, health and humanities colleges. The results showed that there was no significant difference between the two versions provided to students CBT and PPT with 0.36 moderate correlation indicators in the pre-CBT test, no significant differences between the males and females in the CBT test results. Therefore, on the basis of the results of the present study, the CBT test is an option and a preferred alternative for regular students of the bachelor's level at the University of Jordan.

  16. What IAPT CBT High-Intensity Trainees Do After Training.

    Science.gov (United States)

    Liness, Sheena; Lea, Susan; Nestler, Steffen; Parker, Hannah; Clark, David M

    2017-01-01

    The UK Department of Health Improving Access to Psychological Therapies (IAPT) initiative set out to train a large number of therapists in cognitive behaviour therapies (CBT) for depression and anxiety disorders. Little is currently known about the retention of IAPT CBT trainees, or the use of CBT skills acquired on the course in the workplace after training has finished. This study set out to conduct a follow-up survey of past CBT trainees on the IAPT High Intensity CBT Course at the Institute of Psychiatry, Psychology and Neuroscience (IoPPN), King's College London (KCL), one of the largest IAPT High Intensity courses in the UK. Past trainees (n = 212) across 6 cohorts (2008-2014 intakes) were contacted and invited to participate in a follow-up survey. A response rate of 92.5% (n = 196) was achieved. The vast majority of IAPT trainees continue to work in IAPT services posttraining (79%) and to practise CBT as their main therapy modality (94%); 61% have become CBT supervisors. A minority (23%) have progressed to other senior roles in the services. Shortcomings are reported in the use of out-of-office CBT interventions, the use of disorder-specific outcome measures and therapy recordings to inform therapy and supervision. Past trainees stay working in IAPT services and continue to use CBT methods taught on the course. Some NICE recommended treatment procedures that are likely to facilitate patients' recovery are not being routinely implemented across IAPT services. The results have implications for the continued roll out of the IAPT programme, and other future large scale training initiatives.

  17. Public Education and Outreach Through Full-Dome Video Technology

    Science.gov (United States)

    Pollock, John

    2009-03-01

    My long-term goal is to enhance public understanding of complex systems that can be best demonstrated through richly detailed computer graphic animation displayed with full-dome video technology. My current focus is on health science advances that focus on regenerative medicine, which helps the body heal itself. Such topics facilitate science learning and health literacy. My team develops multi-media presentations that bring the scientific and medical advances to the public through immersive high-definition video animation. Implicit in treating the topics of regenerative medicine will be the need to address stem cell biology. The topics are clarified and presented from a platform of facts and balanced ethical consideration. The production process includes communicating scientific information about the excitement and importance of stem cell research. Principles of function are emphasized over specific facts or terminology by focusing on a limited, but fundamental set of concepts. To achieve this, visually rich, biologically accurate 3D computer graphic environments are created to illustrate the cells, tissues and organs of interest. A suite of films are produced, and evaluated in pre- post-surveys assessing attitudes, knowledge and learning. Each film uses engaging interactive demonstrations to illustrate biological functions, the things that go wrong due to disease and disability, and the remedy provided by regenerative medicine. While the images are rich and detailed, the language is accessible and appropriate to the audience. The digital, high-definition video is also re-edited for presentation in other ``flat screen'' formats, increasing our distribution potential. Show content is also presented in an interactive web space (www.sepa.duq.edu) with complementing teacher resource guides and student workbooks and companion video games.

  18. Using crowdsourcing technology for testing multilingual public health promotion materials.

    Science.gov (United States)

    Turner, Anne M; Kirchhoff, Katrin; Capurro, Daniel

    2012-06-04

    Effective communication of public health messages is a key strategy for health promotion by public health agencies. Creating effective health promotion materials requires careful message design and feedback from representatives of target populations. This is particularly true when the target audiences are hard to reach as limited English proficiency groups. Traditional methods of soliciting feedback--such as focus groups and convenience sample interviews--are expensive and time consuming. As a result, adequate feedback from target populations is often insufficient due to the time and resource constraints characteristic to public health. To describe a pilot study investigating the use of crowdsourcing technology as a method to gather rapid and relevant feedback on the design of health promotion messages for oral health. Our goal was to better describe the demographics of participants responding to a crowdsourcing survey and to test whether crowdsourcing could be used to gather feedback from English-speaking and Spanish-speaking participants in a short period of time and at relatively low costs. We developed health promotion materials on pediatric dental health issues in four different formats and in two languages (English and Spanish). We then designed an online survey to elicit feedback on format preferences and made it available in both languages via the Amazon Mechanical Turk crowdsourcing platform. We surveyed 236 native English-speaking and 163 native Spanish-speaking participants in less than 12 days, at a cost of US $374. Overall, Spanish-speaking participants originated from a wider distribution of countries than the overall Latino population in the United States. Most participants were in the 18- to 29-year age range and had some college or graduate education. Participants provided valuable input for the health promotion material design. Our results indicate that crowdsourcing can be an effective method for recruiting and gaining feedback from English

  19. Incidental treatment effects of CBT on suicidal ideation and hopelessness.

    Science.gov (United States)

    Handley, Tonelle E; Kay-Lambkin, Frances J; Baker, Amanda L; Lewin, Terry J; Kelly, Brian J; Inder, Kerry J; Attia, John R; Kavanagh, David J

    2013-10-01

    Depression and alcohol misuse are among the most prevalent diagnoses in suicide fatalities. The risk posed by these disorders is exacerbated when they co-occur. Limited research has evaluated the effectiveness of common depression and alcohol treatments for the reduction of suicide vulnerability in individuals experiencing comorbidity. Participants with depressive symptoms and hazardous alcohol use were selected from two randomised controlled trials. They had received either a brief (1 session) intervention, or depression-focused cognitive behaviour therapy (CBT), alcohol-focused CBT, therapist-delivered integrated CBT, computer-delivered integrated CBT or person-centred therapy (PCT) over a 10-week period. Suicidal ideation, hopelessness, depression severity and alcohol consumption were assessed at baseline and 12-month follow-up. Three hundred three participants were assessed at baseline and 12 months. Both suicidal ideation and hopelessness were associated with higher severity of depressive symptoms, but not with alcohol consumption. Suicidal ideation did not improve significantly at follow-up, with no differences between treatment conditions. Improvements in hopelessness differed between treatment conditions; hopelessness improved more in the CBT conditions compared to PCT and in single-focused CBT compared to integrated CBT. Low retention rates may have impacted on the reliability of our findings. Combining data from two studies may have resulted in heterogeneity of samples between conditions. CBT appears to be associated with reductions in hopelessness in people with co-occurring depression and alcohol misuse, even when it is not the focus of treatment. Less consistent results were observed for suicidal ideation. Establishing specific procedures or therapeutic content for clinicians to monitor these outcomes may result in better management of individuals with higher vulnerability for suicide. © 2013 Elsevier B.V. All rights reserved.

  20. Attitudes in Korea toward Introducing Smart Policing Technologies: Differences between the General Public and Police Officers

    OpenAIRE

    HyungBin Moon; Hyunhong Choi; Jongsu Lee; Ki Soo Lee

    2017-01-01

    This study analyzes different attitudes toward introduction of smart policing technologies in cybercrime policing among the Korean public and police. Policing is essential for a sustainable community. Technological advances in policing have both positive and negative aspects, making it essential to investigate perceptions of both public and police when introducing smart policing technologies. A discrete choice experiment was undertaken to survey preferences of the public and police toward int...

  1. Federal Agency Use of Public Key Technology for Digital Signatures and Authentication

    National Research Council Canada - National Science Library

    Lyons-Burke, Kathy

    2000-01-01

    This guidance document was developed by the Federal Public Key Infrastructure Steering Committee to assist Federal agencies that are considering the use of public key technology for digital signatures...

  2. Geothermal technology publications and related reports: A bibliography, January 1986 through December 1987

    Energy Technology Data Exchange (ETDEWEB)

    Tolendino, C.D. (ed.)

    1988-08-01

    Sandia publications resulting from DOE programs in Geothermal Technologies, Magma Energy and Continental Scientific Drilling are listed for reference. The RandD includes borehole-related technologies, in situ processes, and wellbore diagnostics.

  3. Computer based training: Technology and trends

    International Nuclear Information System (INIS)

    O'Neal, A.F.

    1986-01-01

    Computer Based Training (CBT) offers great potential for revolutionizing the training environment. Tremendous advances in computer cost performance, instructional design science, and authoring systems have combined to put CBT within the reach of all. The ability of today's CBT systems to implement powerful training strategies, simulate complex processes and systems, and individualize and control the training process make it certain that CBT will now, at long last, live up to its potential. This paper reviews the major technologies and trends involved and offers some suggestions for getting started in CBT

  4. Preliminary evaluation of culturally sensitive CBT for depression in Pakistan: findings from Developing Culturally-sensitive CBT Project (DCCP).

    Science.gov (United States)

    Naeem, Farooq; Waheed, Waquas; Gobbi, Mary; Ayub, Muhammad; Kingdon, David

    2011-03-01

    There is sufficient research evidence in favour of cognitive therapy in western world. However, only limited research has been carried out on its effectiveness in other countries. It is suggested that adaptations in content, format and delivery are needed before CBT can be employed in non-western cultures. We describe a preliminary evaluation of culturally adapted CBT for depression in Pakistan. We aimed to evaluate the efficacy of this culturally adapted CBT using a therapist manual. In a randomized controlled trial we compared combination of CBT and antidepressants with antidepressants alone (treatment as usual) in primary care. Referred patients with ICD-10 diagnosis of depression were invited to participate and randomized to the intervention and control groups. Hospital Anxiety and Depression Scale (HADS) and Bradford Somatic Inventory (BSI) were used to measure changes in depression, anxiety and somatic symptoms. Seventeen patients each were randomized to each arms of the trial. Except for financial status there were no differences between the two groups on various demographic variables. Patients receiving CBT showed statistically significant improvement on measures of depression (p CBT was effective in reducing symptoms of depression and anxiety in Pakistan.

  5. A survey on publications in fusion research and technology science and technology indicators in fusion R and T

    International Nuclear Information System (INIS)

    Hillebrand, C.-D.

    2001-01-01

    Scientific publications disseminate research results and are therefore an interesting subject for science and technology analysis. Bibliographic databases contain scientific publications which are indexed and structured. The paper considers Fusion Research and Technology records which are stored in the International Nuclear Information System (INIS) bibliographic database. For the first time, all scientometric and bibliometric information specific to a selected field of science and technology contained in a bibliographic database, using INIS records, is analysed and quantified. A variety of new science and technology indicators which can be used for assessing research and development activities are also presented. (author)

  6. A survey on publications in fusion research and technology science and technology indicators in fusion R and T

    International Nuclear Information System (INIS)

    Hillebrand, C.D.

    1999-01-01

    Scientific publications disseminate research results and are therefore an interesting subject for science and technology analysis. Bibliographic databases contain scientific publications which are indexed and structured. The paper considers Fusion Research and Technology records which are stored in the International Nuclear Information System (INIS) bibliographic database. For the first time, all scientometric and bibliometric information specific to a selected field of science and technology contained in a bibliographic database, using INIS records, is analysed and quantified. A variety of new science and technology indicators which can be used for assessing research and development activities are also presented. (author)

  7. 78 FR 23574 - Public Workshop on Marine Technology and Standards

    Science.gov (United States)

    2013-04-19

    ... Material Bilgewater Monitoring Using Advanced Light Scattering Technology Vortex Induced Vibration Design... Verification of Energy Efficiency Design Index Testing and Approval of Ballast Water Treatment Systems... Technology and Standards AGENCY: Coast Guard, DHS. ACTION: Notice. SUMMARY: The American Society of...

  8. 77 FR 6064 - Environmental Technologies Trade Advisory Committee Public Meeting

    Science.gov (United States)

    2012-02-07

    ... DEPARTMENT OF COMMERCE International Trade Administration Environmental Technologies Trade..., Office of Energy & Environmental Industries, International Trade Administration, Room 4053, 1401... administration of programs to expand U.S. exports of environmental technologies, goods, services, and products...

  9. Parental Involvement in CBT for Anxiety-Disordered Youth Revisited: Family CBT Outperforms Child CBT in the Long Term for Children With Comorbid ADHD Symptoms.

    Science.gov (United States)

    Maric, Marija; van Steensel, Francisca J A; Bögels, Susan M

    2018-03-01

    The objective of this study was to examine the efficacy of child cognitive-behavioral therapy (CCBT) versus family CBT (FCBT) in anxiety-disordered youth with high and low comorbid ADHD symptoms. Youth with anxiety disorders ( n = 123, aged 8-18) were classified in four groups according to (a) the type of CBT received (child vs. family) and (b) their comorbid ADHD symptoms, measured with the Child Behavior Checklist (CBCL) Attention Problems syndrome scale level (normal vs. [sub]clinical). Severity of anxiety disorders was assessed with Anxiety Disorders Interview Schedule-Child and Parent (ADIS-C/P) version and anxiety symptoms via a 71-item anxiety symptom questionnaire, the Screen for Child Anxiety and Related Emotional Disorders (SCARED-71), before and after CBT, and at 3 months and 1-year follow-ups. Based on the severity of anxiety disorders, children with high ADHD symptoms profit more from FCBT than CCBT in the long term. For children low on ADHD symptoms, and for anxiety symptoms and attention problems, no differences between CCBT and FCBT occurred. Family involvement seems a valuable addition to CBT for children with comorbid anxiety and ADHD symptoms.

  10. Identifying and explaining public preferences for the attributes of energy technologies

    NARCIS (Netherlands)

    Van Rijnsoever, Frank J.; Farla, Jacco C M

    2014-01-01

    Public preferences play an important role in the debate about which technologies to include in a future energy system. However, these public preferences for specific technologies are often backed by little knowledge and they may change in different contexts. In this study, we identify a compact set

  11. 47 CFR 22.409 - Developmental authorization for a new Public Mobile Service or technology.

    Science.gov (United States)

    2010-10-01

    ... Mobile Service or technology. 22.409 Section 22.409 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) COMMON CARRIER SERVICES PUBLIC MOBILE SERVICES Developmental Authorizations § 22.409 Developmental authorization for a new Public Mobile Service or technology. The FCC may grant applications for...

  12. U.S. Public Libraries and the Use of Web Technologies, 2012. A Closer Look

    Science.gov (United States)

    Wanucha, Meghan; Hofschire, Linda

    2013-01-01

    In 2008, researchers at the Library Research Service (LRS) undertook the "U.S. Public Libraries and the Use of Web Technologies" study, with the intent to document the use of various Internet technologies on the websites of public libraries throughout the nation (Lietzau, 2009). The results of that study set a baseline for the adoption…

  13. Geothermal technology publications and related reports: a bibliography, January 1977-December 1980

    Energy Technology Data Exchange (ETDEWEB)

    Hudson, S.R. (ed.)

    1981-04-01

    This bibliograhy lists titles, authors, abstracts, and reference information for publications which have been published in the areas of drilling technology, logging instrumentation, and magma energy during the period 1977-1980. These publications are the results of work carried on at Sandia National Laboratories and their subcontractors. Some work was also done in conjunction with the Morgantown, Bartlesville, and Pittsburgh Energy Technology Centers.

  14. New technologies stuck in old hierarchies. An analysis of diffusion of geo-information technologies in Dutch public organizations

    NARCIS (Netherlands)

    Vonk, G.; Geertman, S.; Schot, P.P.

    2007-01-01

    Some 25 years after the introduction of the first geo-information technologies in public organizations, strategies to manage their diffusion are still inadequate. This is problematic in light of the new generation of geo-information technologies that has become available and aims to invest in these

  15. Isocyanate toughened pCBT: Reactive blending and tensile properties

    Directory of Open Access Journals (Sweden)

    T. Abt

    2013-02-01

    Full Text Available Cyclic butylene terephthalate oligomers (CBT were reacted in a ring-opening polymerization with three types of isocyanates: a bifunctional aromatic type, a bifunctional aliphatic type and a polymeric aromatic isocyanate. All reactions took place in a batch mixer. The use of 0.5 to 1 wt% isocyanate led to a dramatic increase in elongation at break of polymerized cyclic butylene terephthalate (pCBT, from 8 to above 100%. The stiffness and strength of the modified pCBT, however, were found to slightly decrease. Proton nuclear magnetic resonance (NMR analysis shows that the formation of thermally stable amide groups is the dominant chain extension reaction mechanism. Gel content measurements suggest a linear structure for samples containing bifunctional isocyanates while pCBT modified with polyfunctional isocyanate exhibited some gel formation at higher isocyanate content. Melting and crystallization temperatures as well as degree of crystallinity were found to decrease with increasing isocyanate content. No phase separation was detected by scanning electron microscopy (SEM analysis. Moreover, a high degree of polymerization is deduced due to the absence of CBT oligomer crystals.

  16. Clinical relevance of findings in trials of CBT for depression.

    Science.gov (United States)

    Lepping, P; Whittington, R; Sambhi, R S; Lane, S; Poole, R; Leucht, S; Cuijpers, P; McCabe, R; Waheed, W

    2017-09-01

    Cognitive behavioural therapy (CBT) is beneficial in depression. Symptom scores can be translated into Clinical Global Impression (CGI) scale scores to indicate clinical relevance. We aimed to assess the clinical relevance of findings of randomised controlled trials (RCTs) of CBT in depression. We identified RCTs of CBT that used the Hamilton Rating Scale for Depression (HAMD). HAMD scores were translated into Clinical Global Impression - Change scale (CGI-I) scores to measure clinical relevance. One hundred and seventy datasets from 82 studies were included. The mean percentage HAMD change for treatment arms was 53.66%, and 29.81% for control arms, a statistically significant difference. Combined active therapies showed the biggest improvement on CGI-I score, followed by CBT alone. All active treatments had better than expected HAMD percentage reduction and CGI-I scores. CBT has a clinically relevant effect in depression, with a notional CGI-I score of 2.2, indicating a significant clinical response. The non-specific or placebo effect of being in a psychotherapy trial was a 29% reduction of HAMD. Copyright © 2017. Published by Elsevier Masson SAS.

  17. Information Technology and the Organization Chart of Public Administration

    NARCIS (Netherlands)

    Zouridis, S.; Snellen, I.Th.M.; van de Donk, W.B.H.J.

    1998-01-01

    To a certain extent the organization chart of public administration is inspired by the doctrines which are offered by public administration science. Some of these doctrines relate to policy implementation and the design of implementing agencies. In this chapter three of these main doctrines are

  18. Technologies for Social Inclusion and Public Policies in Latin America

    International Development Research Centre (IDRC) Digital Library (Canada)

    Latin American governments, academics and nongovernmental organizations are paying increasing attention to poverty, inequality and social inclusion, and the role that technological change plays in these phenomenon. Rather than solving specific deficits, they are interested in how social technologies can generate ...

  19. Activities of the NASA sponsored SRI technology applications team in transferring aerospace technology to the public sector

    Science.gov (United States)

    Berke, J. G.

    1971-01-01

    The organization and functions of an interdisciplinary team for the application of aerospace generated technology to the solution of discrete technological problems within the public sector are presented. The interdisciplinary group formed at Stanford Research Institute, California is discussed. The functions of the group are to develop and conduct a program not only optimizing the match between public sector technological problems in criminalistics, transportation, and the postal services and potential solutions found in the aerospace data base, but ensuring that appropriate solutions are acutally utilized. The work accomplished during the period from July 1, 1970 to June 30, 1971 is reported.

  20. Teacher Perspectives on the Current State of Computer Technology Integration into the Public School Classroom

    Science.gov (United States)

    Zuniga, Ramiro

    2009-01-01

    Since the introduction of computers into the public school arena over forty years ago, educators have been convinced that the integration of computer technology into the public school classroom will transform education. Joining educators are state and federal governments. Public schools and others involved in the process of computer technology…

  1. PRODUCTIVITY AND LAND ENHANCING TECHNOLOGIES IN NORTHERN ETHIOPIA: HEALTH, PUBLIC INVESTMENTS, AND SEQUENTIAL ADOPTION

    OpenAIRE

    Ersado, Lire; Amacher, Gregory S.; Alwang, Jeffrey Roger

    2003-01-01

    The adoption of more efficient farming practices and technologies that enhance agricultural productivity and improve environmental sustainability is instrumental for achieving economic growth, food security and poverty alleviation in sub-Saharan Africa. Our research examines the interaction between public investments, community health, and adoption of productivity and land enhancing technologies by households in the northern Ethiopian state of Tigray. Agricultural technology adoption decision...

  2. Studi evaluasi penerapan Community Based Tourism (CBT sebagai pendukung agrowisata berkelanjutan

    Directory of Open Access Journals (Sweden)

    Sri Endah Nurhidayati

    2015-01-01

    Full Text Available The role of government in the development of Community Based Tourism (CBT is very important to strengthen communities around the tourism destination. Government has significant role to ensure that the community has accesses, opportunities and an important power in the development of tourism. The objectives of this research are: (1 describe the government's perception of the  Community Based Tourism (CBT development, (2 identifying government policies to support the Community Based Tourism (CBT implementation in Batu City, East Java, and (3 describe the constraints that occur in the implementation of Community based Tourism (CBT in Batu City, East Java. This study uses qualitative approach by analyzing critical reality, being constructed locally and specifically. The study was conducted in Batu City, East Java. Perceptions of government on the implementation of community-based tourism reflected the mindset of the individual. The community-based tourism development in Batu city is considered the same as rural tourism development. The Government supervise the development of tourism products, especially the tourist village. To support the existence of a tourist village Department of Tourism and Creative Economy   help develop and market promotion. Barriers to the implementation of community-based tourism development with regard to the internal aspects of the government: the quality of human resources decision makers in the Batu Government do not possess educational background of tourism, government people less creative design programs and somewhat forced, the lack of trust the government to local communities, government is not able to map the condition social community related to the system's internal decision-making in the community that are less able to intervene in all components of society, a narrow understanding of CBT, and yet solid government policy coordination between stakeholders. While the external barriers are lack of insight into the

  3. Use of information communication technologies (ICTs) by public and ...

    African Journals Online (AJOL)

    ) by public and private extension agencies in Oyo State. The result of the study revealed the relationship between the personal characteristics of extension workers and their use of ICTs. Age and sex were significant while marital status and ...

  4. Benefits assessment of advanced public transportation system technologies, update 2000

    Science.gov (United States)

    This report was performed under the Federal Transit Administration's (FTA) Advanced Public Transportation Systems (APTS) Program. This program focuses on the development and demonstration of innovative advanced navigation, information and communicati...

  5. Missouri Smelting Technology, Inc. - Clean Water Act Public Notice

    Science.gov (United States)

    The EPA is providing notice of a proposed Administrative Penalty Assessment against Missouri Smelting Technology, Inc. (MOST), for alleged violations at a facility located at 50 Cherry Blossom Way, Troy, Missouri 63379 (“facility”). The facility is a secon

  6. Technology information transfer in public outreach - a new approach

    International Nuclear Information System (INIS)

    Peck, J.H.; Wadkins, M.L.

    1994-01-01

    The timely and accurate dissemination to the public of information derived from the site characterization activities on the Yucca Mountain Site Characterization Project (YMP) has sometimes been difficult to achieve. The YMP has many participants who are involved in the gathering and analysis of scientific and engineering data for site characterization. The diversity of the scientific disciplines involved, the uncentralized location of the participant organizations, the difficulty of being able to ask the right questions of the right people, and the translation of technical jargon into understandable terms are but a few of the challenges. The public outreach program of the YMP has done an excellent job of compiling and distributing information over the past few years, but, with the diversity and expansion of field activities in the last two years, the job has become more formidable. A new approach to help resolve this obstacle was instituted in April of 1993, and has been successful in achieving a much more timely and user-friendly discussion of technical information for the public. What is the new approach? The assignment of a technical expert to the public outreach staff whose job is to know what is going on, who is doing what, and what the results are. Based on that knowledge, factual summaries can be generated rapidly and presented to the public in the context of the overall project goals and in a form suitable for a wide range of audiences

  7. Mobile technology for expansion of service range medan public library

    Science.gov (United States)

    Siregar, A. R.; Dewiyana, H.

    2018-03-01

    The information society, especially library users, expects an easier and faster way to get information and share knowledge. The library also implements the best way to provide the best service and the easiest way to disseminate and share information with its users. One technology that allows libraries more closely with their users is mobile technology. This paper aims to determine the basic conditions of mobile technology services and mobile services most needed library users, as well as constraints faced by libraries and users in the application of mobile technology. This paper will help libraries to develop better M-Library services in expanding the reach of library services. Methods of data collection were conducted through surveys through questionnaires, interviews, and direct observation. The results of the use of mobile technology applications in libraries bring great advantages to provide better library services and to improve accessibility of library resources in the easiest way, but due to lack of funds, lack of skills and lack of staff, many libraries are unable to provide this service with very successful.

  8. Study on international publicity and export strategy establishment of nuclear technology

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Ji Bok; Choi, C.O.; Park, K. B.; Chang, M. H.; Kim, K. K.; Yang, M. S.; Jung, I. H.; Kim, K. P.; Wu, J. S.; Jang, C. I.; Han, B. O.; Sim, J. H.; Chung, M.; Chung, J.K

    1999-05-01

    The objective of this study is to devise a proper measure for international publicity and technology export strategy. Analysed and summaries in detail are other countries nuclear policy trend and the current technology development status of Korea Standard Nuclear Plant that we developed on our own technology, design and construction technology for research reactor, System-integrated Modular Advanced Reactor of which design is in progress, Direct use of Spent PWR Fuel in CANDU Reactors, and Radioisotopes. Based on that, the measures are proposed for the export industrialization of nuclear technology and establishment of the export basis. Also the international nuclear cooperation and publicity strategy are suggested to support the technology export basis. By surveying the world nuclear status, the direction for the international cooperation and publicity is settled and the specific publicity strategy is proposed for the cooperation with IAEA and multi-countries and the establishment of the nuclear technology export basis. As part of this project, the panel on major technologies such as Korea Standard Nuclear Plant, HANARO, and System-integrated Modular Advanced Reactor was displayed successfully at the IAEA meeting, which contribute much to the publicity of our nuclear technology to the international nuclear society. (author)

  9. Scientists' understanding of public communication of science and technology

    DEFF Research Database (Denmark)

    Nielsen, Kristian Hvidtfelt; Kjaer, Carsten Rahbæk; Dahlgaard, Jørgen

    Background Research into the field of science communication has tended to focus on public understanding of science or on the processes of science communication itself, e.g. by looking at science in the media. Few studies have explored how scientists understand science communication. At present......, there seems to be two competing ways of framing the role of scientists in the process of science communication. The linear model stresses onedirectional flow of knowledge from scientists to the general public whereas the interactional, reflective model emphasizes dialogue and upstream engagement. Recent...... British studies of scientists' opinions on science communication have shown that most scientists operate in the framework of the linear model. However, public and government pressure to increase scientists' exchange of knowledge and competencies with society may be changing this perception. Objective...

  10. Information technology for nuclear education and public awareness

    International Nuclear Information System (INIS)

    Refre, A.E.

    1996-01-01

    The information age is ushered in by breakthroughs in information technologies. Among these are the interactive multimedia and the internet. These technologies find very good use as tools in teaching whether in the classroom or in distant education. They have been found very effective tools in teaching science and technology in all levels, from the very basic to the more advanced topics. In the Philippine educational setting, the teaching of science and technology is not only hampered by the lack of teachers but also of the lack of laboratory facilities, equipment and materials. A solution is, therefore, being proposed by the author: make use of interactive multimedia and the internet in those areas lacking the needed physical and human resources. As an initial undertaking in this direction, the author has embarked in developing interactive multimedia pieces of nuclear science and technology. These are very much needed in the Philippine secondary education. This subject matter is barely touched, if not at all, by the science or physics teachers due to the insufficient knowledge on the subject matter, also by the lack of experiment materials/equipment to demonstrate concepts. Using interactive multimedia, the science and physics teachers are going to be empowered to teach nuclear science and technology even if they themselves did not have the oppurtunity to learn them during their student days. Having access to the internet, these teachers do not have to attend expensive seminars at places far from their stations to update themselves on the subject matter; they are going to 'get information at their fingertips' in no time at all and at practically no cost. (author)

  11. Time for the public to read science and technology

    International Nuclear Information System (INIS)

    1998-06-01

    This book deals with cover of scientific articles of newspaper and magazine, science journals, broadcasting news, scientists working for the public, freelancers, writing good stories, using sources, application of statistics, writing selected articles of science magazine, and science opinion. It adds cover of public health and government ministries, report of behavioral biology, cover of contagious diseases, report of neurology, report of poisons and dangerousness, environmental articles, cover of earth science and physics, articles of astronomy. It also introduces other places such as universities, non profitable institutes, companies and industries.

  12. Conditions of the potential for commercialization of the patent: the implementation of a technology public offering system technology at CNEN

    International Nuclear Information System (INIS)

    Archila, Daniela Lima Cerqueira

    2015-01-01

    This dissertation identifies the main factors which represent the conditions for the potential commercialization of patents aiming at the implementation of a system for technology public offering at CNEN as a strategy for creating licensing opportunities to the industrial sector. The method applied refers to an exploratory case study of a patented technology selected from a sample of CNEN's patent portfolio in the biopharmaceutical sector. The case study comprehends a field research of interviews conducted with two specialists in technology and innovation management, one researcher from CNEN and a biopharmaceutical company. The results show that among the nineteen main factors - related to technology, market, business and Science and Technology Organization (STO) - the market dynamics, the potential applications of the technology and an abstract of its main benefits compared to existing technologies are the major relevant information for each technology to be included in the public offering system. Other results indicate that the evaluation of such factors may be conducted by competent professionals to bring less uncertainty and risk to the early-stage of the innovation process, as well as enhance the potential interest of a company in the technology. On the other hand, the latter requires innovation capabilities to move the technology forward – additional R&D, scale-up, manufacturing and marketing - whilst the STO needs a entrepreneurial culture that mitigates its obstacles, creates more positive solutions for its routines and processes and gives sustainability to its Technology Transfer Office (TTO) through valuing its personnel in the long term. Finally, emphasis on technological partnerships with companies can be a motivating feature for directing the STO's patent strategy to the creation of proprietary technological platforms that reflect problems experienced by the commercial environment, as well as the development of this strategic patent

  13. Putting GM technologies to work: public research pipelines in ...

    African Journals Online (AJOL)

    Reaching farmers has been achieved in several countries only for GM cotton for insect resistant while approvals for food and feed crops lag behind. To address this question, we identified and examined public research pipelines for GM crops in Egypt, Kenya, South Africa and Zimbabwe. Genetic transformation events are ...

  14. RAISE: Using Geospatial Technology in the Public School

    Science.gov (United States)

    Watkins, Brad; Wagler, Ron

    2005-01-01

    The Rural Alliance for Improving Science Education (RAISE), funded by the National Science Foundation (NSF), is a program that partners Oklahoma State University with three public school districts in Oklahoma. This program enables Oklahoma State University science graduate students to serve as resources in developing and teaching science…

  15. Public Policy Systems Dealing with Ethically Contested Medical Technological Innovations

    NARCIS (Netherlands)

    Hoppe, Robertus

    2008-01-01

    The questions tackled in this paper are: How do we deal with ethically contested medical innovations?, and Can we do better? First, I analyse how we deal with these problems by a division of labour and competitive boundary work between the medical R&D system's research and technological imperative,

  16. Resistance to Information Technology in Public Procurement in Tanzania

    Science.gov (United States)

    Nditi, Christopher

    2010-01-01

    Organizations have become more dependent on information technology (IT) in the 21st century. But IT implementation and use is resisted in certain sectors of Tanzania, particularly in government-run enterprises. The purpose of this study was to investigate the causes and consequences of resistance to IT development and implementation in the…

  17. Strategic management of technology in public health sector in ...

    African Journals Online (AJOL)

    Although strategic importance of technology in health care has been documented widely in scientific literature; equipment planning, procurement and management have not received the attention they deserve in the transformation of health care services in the two countries under the survey. Conclusions: The growing ...

  18. Enduring Effects of a Computer-Assisted Training Program For Cognitive Behavioral Therapy: A six-month follow-up of CBT4CBT*

    Science.gov (United States)

    Carroll, Kathleen M.; Ball, Samuel A.; Martino, Steve; Nich, Charla; Babuscio, Theresa A.; Rounsaville, Bruce J.

    2009-01-01

    Objectives To evaluate the durability of effects of a computer assisted version of cognitive behavioral therapy (CBT) as treatment for substance dependence through a 6 month follow-up. Methods Following a randomized clinical trial in which 73 individuals seeking outpatient treatment for substance dependence in an outpatient community setting were randomized to either standard treatment-as-usual (TAU) or TAU with 8 weeks of biweekly access to computer-based training for CBT (CBT4CBT), participants were interviewed one, three, and six months after the termination of study treatments. Results Sixty of the 73 participants were reached for follow-up (82%); follow up rates and availability of data were comparable across treatment conditions. Random regression analyses of use across time indicated significant differences between groups, such that those assigned to TAU increased their drug use across time while those assigned to CBT4CBT tended to improve slightly. The durability of the CBT4CBT effect remained even after controlling for treatment retention, treatment substance use outcomes, and exposure to other treatment during the follow-up period. Conclusions Computerized CBT4CBT appears to have both short-term and enduring effects on drug use. PMID:19041197

  19. Attitudes in Korea toward Introducing Smart Policing Technologies: Differences between the General Public and Police Officers

    Directory of Open Access Journals (Sweden)

    HyungBin Moon

    2017-10-01

    Full Text Available This study analyzes different attitudes toward introduction of smart policing technologies in cybercrime policing among the Korean public and police. Policing is essential for a sustainable community. Technological advances in policing have both positive and negative aspects, making it essential to investigate perceptions of both public and police when introducing smart policing technologies. A discrete choice experiment was undertaken to survey preferences of the public and police toward introduction of such technologies and conduct simulation analysis to compare changes in the acceptance of various scenarios. The study divides cybercrime policing into prevention and investigation. The sample included 500 members of the public and 161 police officers. The results show that the public thinks an increase in yearly taxes and invasion of privacy are the most important factors. Conversely, the police think factors enhancing the efficiency of policing are most important. Moreover, when smart policing technologies are introduced, the public and police perceive more utility in the prevention and investigation of cybercrime, respectively. Few studies in this field separate the prevention and investigation of crimes, or compare perceptions of the public and police toward the introduction of smart policing technologies. This study’s quantitative analysis provides insights lacking in previous literature.

  20. Public Action and Innovationsupport Institutions in New Technological Agglomerations

    DEFF Research Database (Denmark)

    Borras, Susana; Bacaria, Jordi; Fernandez-Ribas, Andrea

    2002-01-01

    engaged in enhancing the technological capabilities and knowledge flow of the territory. Taking this consideration as a starting point, the article presents the dynamics of the technological agglomeration of the Vallès Occidental County, located within Catalonia, Spain. It has supplied information....... The first is that policy strategies should not try to be hegemonic. Instead, they should be elaborated seeking complementarity and coexistence. A second normative conclusion is the necessity of fostering the learning processes within and across institutions, by mobilizing collectively the assets of the area...... into an open explicit option for the economic performance of the territory. The conclusions include a final plea for further research about the industrial dynamics and knowledge flows in the Vallès Occidental County, an important growth pole of Catalonia....

  1. Policy Considerations for the Blockchain Technology Public and Private Applications

    OpenAIRE

    GABISON Garry

    2016-01-01

    In 2008, Satoshi Nakamoto—an individual or group of individuals— released a paper that described Bitcoin, a first of its kind, peer-to-peer electronic cash system. Bitcoin relies mostly on existing technology but requires a new invention, a blockchain, to solve an old problem: how do two parties conduct an online transaction without knowing or trusting each other and without the need for a trusted third-party intermediary? Encryption and large-scale redundancy was combined w...

  2. Publicly Owned Treatment Works (POTW): NESHAP Risk and Technology Review Proposal

    Science.gov (United States)

    These proposed amendments to the National Emission Standards for Hazardous Air Pollutants (NESHAP) for Publicly Owned Treatment Works (POTW) result from the results of the residual risk and technology review of that source category.

  3. Publicly Owned Treatment Works (POTW): NESHAP Risk and Technology Review Final

    Science.gov (United States)

    These proposed amendments to the National Emission Standards for Hazardous Air Pollutants (NESHAP) for Publicly Owned Treatment Works (POTW) result from the results of the residual risk and technology review of that source category.

  4. The Effect of Cognitive Behavioral Therapy (CBT) on Depression: The Role of Problem-Solving Appraisal

    Science.gov (United States)

    Chen, Szu-Yu; Jordan, Catheleen; Thompson, Sanna

    2006-01-01

    Objective: Many studies have confirmed the efficacy of cognitive behavioral therapy (CBT) as a treatment for depression. However, the mechanism of CBT for depression reduction is still not well understood. This study explored the mechanism of CBT from the perspective of individuals' problem-solving appraisal. Method: A one-group pretest-posttest…

  5. Processes of Change in CBT of Adolescent Depression: Review and Recommendations

    Science.gov (United States)

    Webb, Christian A.; Auerbach, Randy P.; DeRubeis, Robert J.

    2012-01-01

    A growing body of research supports the efficacy of cognitive-behavioral therapy (CBT) for adolescent depression. The mechanisms through which CBT exerts its beneficial effects on adolescent patients suffering from depression, however, remain unclear. The current article reviews the CBT for adolescent depression process literature. Our review…

  6. Integrating cell phones and mobile technologies into public health practice: a social marketing perspective.

    Science.gov (United States)

    Lefebvre, Craig

    2009-10-01

    Mobile communications are being used for many purposes, from instant messaging (IM), mobile or microblogging (Twitter), social networking sites (Facebook, MySpace), e-mail to basic voicemail. A brief background on cell phone and mobile technology use in public health is reviewed. The focus of the article is framing the use of mobile technologies in public health from a social marketer's perspective--using the 4 Ps marketing mix as a guide.

  7. Education and communication to increase public understanding of nuclear technology peaceful uses

    Energy Technology Data Exchange (ETDEWEB)

    Levy, Denise S.; Passos, Igor S., E-mail: denise@omiccron.com.br [Omiccron Programacao Grafica, Atibaia, SP (Brazil)

    2014-07-01

    Nuclear technology helps to improve the quality of our everyday life. Nevertheless, there is still great misinformation and the issue divides public opinion. Several surveys were conducted over the past years to study public acceptance of Nuclear Technology in Brazil and worldwide. GlobeScan (2005), for the International Atomic Energy Agency (IAEA), and Eurobarometers (2010), published by the Nuclear Energy Agency (NEA) and the Organization for Economic Co-operation and development (OECD), report similar socio-demographic trends: the higher the education level, the more favorable is public opinion towards nuclear power. Taking into account education and communication are crucial to increase public knowledge and understanding of the benefits of Nuclear Technology and that Internet access has increased strongly all over the country, this educational project aims to take advantage of the potential of Information and Communication Technology (ICT) to disseminate the peaceful use of nuclear technology and its benefits, informing children and teenagers, as well as parents and teachers, who are most often unaware of the matter. Whereas Internet access has increased strongly for both public and private schools all over the country, this web-based educational project, entitled Radioatividades (Radioactivities), provides short courses, curiosities and interactive activities covering topics related to Nuclear Technology and its beneficial applications in several areas, such as medicine, agriculture, industry, art and electric power generation. The project uses the combination of multiple technologies and last generation internet resources. Our target is the dissemination of information, promoting the benefits of Nuclear Technology for new generations, contributing to public acceptance of Nuclear Technology, combating misinformation in our society, omission of the media and knowledge fragmentation. Education transforms old prejudices and inspires new thoughts, stimulating

  8. Education and communication to increase public understanding of nuclear technology peaceful uses

    International Nuclear Information System (INIS)

    Levy, Denise S.; Passos, Igor S.

    2014-01-01

    Nuclear technology helps to improve the quality of our everyday life. Nevertheless, there is still great misinformation and the issue divides public opinion. Several surveys were conducted over the past years to study public acceptance of Nuclear Technology in Brazil and worldwide. GlobeScan (2005), for the International Atomic Energy Agency (IAEA), and Eurobarometers (2010), published by the Nuclear Energy Agency (NEA) and the Organization for Economic Co-operation and development (OECD), report similar socio-demographic trends: the higher the education level, the more favorable is public opinion towards nuclear power. Taking into account education and communication are crucial to increase public knowledge and understanding of the benefits of Nuclear Technology and that Internet access has increased strongly all over the country, this educational project aims to take advantage of the potential of Information and Communication Technology (ICT) to disseminate the peaceful use of nuclear technology and its benefits, informing children and teenagers, as well as parents and teachers, who are most often unaware of the matter. Whereas Internet access has increased strongly for both public and private schools all over the country, this web-based educational project, entitled Radioatividades (Radioactivities), provides short courses, curiosities and interactive activities covering topics related to Nuclear Technology and its beneficial applications in several areas, such as medicine, agriculture, industry, art and electric power generation. The project uses the combination of multiple technologies and last generation internet resources. Our target is the dissemination of information, promoting the benefits of Nuclear Technology for new generations, contributing to public acceptance of Nuclear Technology, combating misinformation in our society, omission of the media and knowledge fragmentation. Education transforms old prejudices and inspires new thoughts, stimulating

  9. Effectiveness and cost effectiveness of cognitive behavioral therapy (CBT) in clinically depressed adolescents: individual CBT versus treatment as usual (TAU)

    NARCIS (Netherlands)

    Stikkelbroek, Y.; Bodden, D.H.M.; Dekovic, M.; Baar, A.L. van

    2013-01-01

    Background: Depressive disorders occur in 2 to 5% of the adolescents and are associated with a high burden of disease, a high risk of recurrence and a heightened risk for development of other problems, like suicide attempts. The effectiveness of cognitive behaviour therapy (CBT), cost-effectiveness

  10. Engaging the public with low-carbon energy technologies: Results from a Scottish large group process

    International Nuclear Information System (INIS)

    Howell, Rhys; Shackley, Simon; Mabon, Leslie; Ashworth, Peta; Jeanneret, Talia

    2014-01-01

    This paper presents the results of a large group process conducted in Edinburgh, Scotland investigating public perceptions of climate change and low-carbon energy technologies, specifically carbon dioxide capture and storage (CCS). The quantitative and qualitative results reported show that the participants were broadly supportive of efforts to reduce carbon dioxide emissions, and that there is an expressed preference for renewable energy technologies to be employed to achieve this. CCS was considered in detail during the research due to its climate mitigation potential; results show that the workshop participants were cautious about its deployment. The paper discusses a number of interrelated factors which appear to influence perceptions of CCS; factors such as the perceived costs and benefits of the technology, and people's personal values and trust in others all impacted upon participants’ attitudes towards the technology. The paper thus argues for the need to provide the public with broad-based, balanced and trustworthy information when discussing CCS, and to take seriously the full range of factors that influence public perceptions of low-carbon technologies. - Highlights: • We report the results of a Scottish large group workshop on energy technologies. • There is strong public support for renewable energy and mixed opinions towards CCS. • The workshop was successful in initiating discussion around climate change and energy technologies. • Issues of trust, uncertainty, costs, benefits, values and emotions all inform public perceptions. • Need to take seriously the full range of factors that inform perceptions

  11. Effectiveness and cost effectiveness of cognitive behavioral therapy (CBT) in clinically depressed adolescents: individual CBT versus treatment as usual (TAU).

    Science.gov (United States)

    Stikkelbroek, Yvonne; Bodden, Denise Hm; Deković, Maja; van Baar, Anneloes L

    2013-11-21

    Depressive disorders occur in 2 to 5% of the adolescents and are associated with a high burden of disease, a high risk of recurrence and a heightened risk for development of other problems, like suicide attempts. The effectiveness of cognitive behaviour therapy (CBT), cost-effectiveness of this treatment and the costs of illness of clinical depression in adolescents are still unclear. Although several Randomized Controlled Trials (RCT) have been conducted to establish the efficacy of CBT, the effectiveness has not been established yet. Aim of this study is to conduct a RCT to test the effectiveness of CBT and to establish the cost-effectiveness of CBT under rigorous conditions within routine care provided by professionals already working in mental health institutions. CBT is investigated with a multi-site, RCT using block randomisation. The targeted population is 140 clinically referred depressed adolescents aged 12 to 21 years old. Adolescents are randomly assigned to the experimental (N = 70, CBT) or control condition (N = 70, TAU). Four assessments (pre, post, follow up at 6 and 12 months) and two mediator assessments during treatment are conducted. Primary outcome measure is depression diagnosis based on a semi-structured interview namely the K-SADS-PL. Secondary outcome measures include depressive symptoms, severity and improvement of the depression, global functioning, quality of life, suicide risk, comorbidity, alcohol and drug use, parental depression and psychopathology, parenting and conflicts. Costs and treatment characteristics will also be assessed. Furthermore, moderator and mediator analyses will be conducted. This trial will be the first to compare CBT with TAU under rigorous conditions within routine care and with a complex sample. Furthermore, cost-effectiveness of treatment and cost-of-illness of clinical depression are established which will provide new insights on depression as a disorder and its treatment. Dutch Trial register number

  12. Effects of Video Streaming Technology on Public Speaking Students' Communication Apprehension and Competence

    Science.gov (United States)

    Dupagne, Michel; Stacks, Don W.; Giroux, Valerie Manno

    2007-01-01

    This study examines whether video streaming can reduce trait and state communication apprehension, as well as improve communication competence, in public speaking classes. Video streaming technology has been touted as the next generation of video feedback for public speaking students because it is not limited by time or space and allows Internet…

  13. U.S. Public Libraries and the Use of Web Technologies, 2010. A Closer Look

    Science.gov (United States)

    Lietzau, Zeth; Helgren, Jamie

    2011-01-01

    It's well known that technology is changing at an increasingly rapid pace and that many public libraries throughout the United States are attempting to adopt new technologies to better reach their patrons. In trade journals, blogs, and at library conferences, professionals in the field have continually discussed the best methods for using web…

  14. The root causes of ineffective and inefficient healthcare technology management in Benin public health sector

    NARCIS (Netherlands)

    Houngbo, T.; Zweekhorst, M.B.M.; Bunders- Aelen, J.G.F.; Coleman, H.L.S.; Medenou, D.; Dakpanon, L.Y.; de Cock Buning, Tjard

    2017-01-01

    This study aims to identify the root causes and solutions of main problems facing Healthcare Technology Management in Benin׳s public health sector. Conducted in Benin from 2008 to 2010, two surveys were used with key actors in Healthcare Technology Management. The first survey was based on 377

  15. Outcomes of an integrated cognitive behaviour therapy (CBT) treatment program for co-occurring depression and substance misuse in young people.

    Science.gov (United States)

    Hides, Leanne; Carroll, Steve; Catania, Lisa; Cotton, Sue M; Baker, Amanda; Scaffidi, Antonietta; Lubman, Dan I

    2010-02-01

    There are high rates of co-occurring depression among young people with substance use disorders. While there is preliminary evidence for the effectiveness of integrated cognitive behaviour therapy (CBT) in combination with antidepressants among alcohol and substance dependent adolescents and adults with co-existing depression, no studies have examined the effectiveness of integrated CBT interventions in the absence of pharmacotherapy. The aim of the current study was to determine the outcomes of an integrated CBT intervention for co-occurring depression and substance misuse in young people presenting to a mental health setting. Sixty young people (aged 15 to 25), with a DSM-IV diagnosis of Major Depressive Disorder and concurrent substance misuse (at least weekly use in the past month) or disorder were recruited from a public youth mental health service in Melbourne, Australia. Participants received 10 sessions of individual integrated CBT treatment delivered with case management over a 20-week period. The intervention was associated with significant improvements in depression, anxiety, substance use, coping skills, depressive and substance use cognitions and functioning at mid- (10 weeks) and post- (20 weeks) treatment. These changes were maintained at 6 months follow-up (44 weeks). These results provide preliminary evidence for the effectiveness of the integrated CBT intervention in young people with co-occurring depression and substance misuse. Further studies using randomised controlled designs are required to determine its efficacy. 2009 Elsevier B.V. All rights reserved.

  16. Method for Expressing Public Opinions Concerning the Introduction of an Emerging Technology to Society

    Science.gov (United States)

    Yamamoto, Satoshi; Ito, Kyoko; Ohnishi, Satoshi; Nishida, Shogo

    Emerging technology may have considerable social impact. Because emerging technology has not yet been introduced in society, it is needed general public express its opinions on emerging technology. It is important that expressing opinion must have social spirit. A method to limit facility of the Internet and activate social spirit is proposed. Evaluation experiment were conducted to test the effectiveness of the proposed method, and the participant could express opinion with social spirit.

  17. Passamaquoddy Innovative Clean Coal Technology Program: Public design report

    Energy Technology Data Exchange (ETDEWEB)

    1993-08-01

    The Passamaquoddy Technology Recovery Scrubber{trademark} was conceived and developed specifically to address two problems experienced by the Dragon cement plant; meeting increasingly stringent gas emission limits for sulfur dioxide, and disposing of kiln dust, containing alkali oxides, which had to be wasted in order to avoid kiln operating and product quality problems. The idea involved making the kiln dust into a slurry in order to leach out the species (primarily potassium and sulfur) which rendered it unacceptable for return to kiln feed. This slurry, the liquid part of which is an alkaline solution, acts as a scrubbing reagent for SO{sub 2} in the flue gas while CO{sub 2} in the gas serves to precipitate soluble calcium and release sulfate for combination with the potassium. The effect of the process is to scrub SO{sub 2} from kiln flue gas, extract the volatile species from the dust allowing it to be returned to the kiln, and yield a leachate comprising potassium sulfate which can be crystallized (using heat recovered from the flue gas) and sold as fertilizer. Apart from widespread application in the cement industry, it was evident that, if the process could be demonstrated, its potential would extend to any plant burning fossil fuel where an alkaline waste either occurs intrinsically or can be juxtaposed. Obvious candidates appeared to include the pulp and paper industry and waste incineration. The chemistry was proved in a 1/100th scale pilot plant using actual kiln dust and a slip stream of kiln gas. A full scale demonstration installation was commissioned in 1989 by CDN (USA), the owners of the Dragon plant with the financial support of the US Department of Energy under its innovative Clean Coal Technology Program.

  18. Public policies and reproductive technology: a feminist critique.

    Science.gov (United States)

    Mccormack, T

    1991-01-01

    Reproductive technology comprises abortion, contraception, amniocentesis (more than 40 genetic disorders can be diagnosed), chorionic villus sampling, genetic screening (to reduce the risk of chromosomal defects such as Down syndrome, sickle cell anemia, Tay-Sachs disease, and cystic fibrosis), in vitro fertilization, artificial insemination by spouse or donor, the development of sperm banks, storage of frozen sperm (cryopreservation), the development of artificial wombs, techniques for predetermining the sex of a fetus, and nursery environments to maintain a fetus removed from the womb in the 1st trimester. In recent years, the demand for these services has increased because of higher infertility and the drop in the number of babies available for adoption. Surrogacy is especially controversial: it has become a symbol of the dehumanization of modern life and the exploitation of women. The feminist perspective discloses how patriarchal values about the subordinate status of women, about the nature of motherhood, infertility, and the family are both implicit and explicit in prevailing thinking about reproduction. The new technology offers women who wish to remain unmarried the opportunity to have a family, and it enables lesbian women to bear children. The research literature favors a Eurocentric nuclear family without any awareness that in Canada, and in the Western world, new forms of family life have been evolving as couples marry, divorce, and remarry. There is no awareness either that in other cultures this Eurocentric nuclear model is dysfunctional. Because of the rigid notion of the 2-parent nuclear family, the 3rd parties who are involved in either surrogate relationships or artificial insemination are deprecated. The feminist literature is more critical of the nuclear family, but it has been sometimes inconsistent on the relevant issues.

  19. Cross-Mode Comparability of Computer-Based Testing (CBT) versus Paper-Pencil Based Testing (PPT): An Investigation of Testing Administration Mode among Iranian Intermediate EFL Learners

    Science.gov (United States)

    Khoshsima, Hooshang; Hosseini, Monirosadat; Toroujeni, Seyyed Morteza Hashemi

    2017-01-01

    Advent of technology has caused growing interest in using computers to convert conventional paper and pencil-based testing (Henceforth PPT) into Computer-based testing (Henceforth CBT) in the field of education during last decades. This constant promulgation of computers to reshape the conventional tests into computerized format permeated the…

  20. Gene Technology in the eyes of the public and experts. Moral opinions, attitudes and risk perception.

    OpenAIRE

    Sjöberg, Lennart

    2004-01-01

    Risk perceptions and attitudes to genetically modified food (GMF) were investigated in a survey study of the public (N=469) and experts (N=49). The response rate was 47 percent for the public. For the experts, response rate was 60 percent. GMF technology was rated as the worst of 18 technologies by members of the public and highly replaceable. Experts had a very different view but also saw GMF as replaceable. Models of risk perceptions and attitudes with regard to policy and consumer intentio...

  1. Ubiquitous technology integration in Canadian public schools: Year one study

    Directory of Open Access Journals (Sweden)

    Jennifer Sclater

    2006-02-01

    Full Text Available The current investigation was an exploration of the first year of a multi-year project designed to provide every Grade 3 to Grade 11 student throughout an English school board in Quebec with a laptop computer. Data were collected from 403 elementary and 270 secondary students from the experimental school board and also from 330 students in the control school board. In addition, questionnaire data were collected from 60 elementary school teachers and 51 secondary school teachers. Finally, interviews were conducted with 72 students and 20 teachers. Potentially the most interesting finding was the difference in achievement scores between the experimental and control boards. Secondary students from the experimental board had higher scores on the CAT-3 reading test and indicated making six times more frequent use of computer technology in their English classes, suggesting a possible treatment effect. In contrast, math scores were higher at the control board where neither board indicated high levels of computer use. Nevertheless, these findings must be interpreted with some caution until the threats to validity of selection bias are more clearly overcome.

  2. A hybrid effectiveness-implementation cluster randomized trial of group CBT for anxiety in urban schools: rationale, design, and methods.

    Science.gov (United States)

    Eiraldi, Ricardo; Khanna, Muniya S; Jawad, Abbas F; Fishman, Jessica; Glick, Henry A; Schwartz, Billie S; Cacia, Jaclyn; Wandersman, Abraham; Beidas, Rinad

    2016-07-12

    Schools present a context with great potential for the implementation of psychosocial evidence-based practices. Cognitive behavioral therapy (CBT) is an evidence-based practice that has been found to be very effective in treating anxiety in various community settings, including schools. Friends for Life (FRIENDS) is an efficacious group CBT protocol for anxiety. Unfortunately, evidence-based practices for anxiety are seldom employed in under-resourced urban schools, because many treatment protocols are not a good fit for the urban school context or the population, existing behavioral health staff do not receive adequate training or support to allow them to implement the treatment with fidelity, or school districts do not have the resources to contract with external consultants. In our prior work, we adapted FRIENDS to create a more culturally sensitive, focused, and feasible CBT protocol for anxiety disorders (CBT for Anxiety Treatment in Schools (CATS)). The aim of this 5-year study is to evaluate both the effectiveness of CATS for urban public schools compared to the original FRIENDS as well as compare the implementation strategies (train-the-trainer vs. train-the-trainer + ongoing consultation) by conducting a three-arm, parallel group, type 2 hybrid effectiveness-implementation trial in 18 K-8 urban public schools. We will also assess the cost-effectiveness and the mediators and moderators of fidelity. Ninety therapists, 18 agency supervisors, and 360 children will participate. The interactive systems framework for dissemination and implementation guides the training and support procedures for therapists and supervisors. This study has the potential to demonstrate that agency therapists and supervisors who have had little to no prior exposure to evidence-based practices (EBPs) can implement an anxiety disorder EBP with fidelity. Comparisons of the implementation strategies would provide large urban mental health systems with data to make decisions about the

  3. Trends in Technology Planning and Funding in Florida K-12 Public Schools

    Directory of Open Access Journals (Sweden)

    ALBERT DIETER RITZHAUPT

    2008-12-01

    Full Text Available This empirical research investigates trends in technology planning and funding in Florida’s K–12 public schools between the 2003–04 and 2005–06 academic years. Survey items that focused on funding and planning issues on Florida’s statewide school technology integration survey were analyzed using logistic models. Results indicate a significant increase in the number of schools revising their technology plans on a regular basis; a significant increase in the frequency with which Florida’s K–12 public schools are seeking funding for technology-related initiatives; a significant increase in parent, administrator, teacher, and student involvement in the technology planning process; and a significant decline in adequate funding for software and hardware needs. In addition, schools with low proportions of economically disadvantaged students sought and were awarded significantly more funds from donations and federal and state grants. Implications for educational leadership and policy are provided.

  4. GREY STATISTICS METHOD OF TECHNOLOGY SELECTION FOR ADVANCED PUBLIC TRANSPORTATION SYSTEMS

    Directory of Open Access Journals (Sweden)

    Chien Hung WEI

    2003-01-01

    Full Text Available Taiwan is involved in intelligent transportation systems planning, and is now selecting its prior focus areas for investment and development. The high social and economic impact associated with which intelligent transportation systems technology are chosen explains the efforts of various electronics and transportation corporations for developing intelligent transportation systems technology to expand their business opportunities. However, there has been no detailed research conducted with regard to selecting technology for advanced public transportation systems in Taiwan. Thus, the present paper demonstrates a grey statistics method integrated with a scenario method for solving the problem of selecting advanced public transportation systems technology for Taiwan. A comprehensive questionnaire survey was conducted to demonstrate the effectiveness of the grey statistics method. The proposed approach indicated that contactless smart card technology is the appropriate technology for Taiwan to develop in the near future. The significance of our research results implies that the grey statistics method is an effective method for selecting advanced public transportation systems technologies. We feel our information will be beneficial to the private sector for developing an appropriate intelligent transportation systems technology strategy.

  5. Relative effects of CBT and pharmacotherapy in depression versus anxiety: is medication somewhat better for depression, and CBT somewhat better for anxiety?

    Science.gov (United States)

    Roshanaei-Moghaddam, Babak; Pauly, Michael C; Atkins, David C; Baldwin, Scott A; Stein, Murray B; Roy-Byrne, Peter

    2011-07-01

    Little is known about whether cognitive behavioral therapy (CBT) or pharmacotherapy is relatively more advantageous for depressive versus anxiety disorders. We conducted a meta-analysis wherein we searched electronic databases and references to select randomized controlled studies comparing CBT and pharmacotherapy, with or without placebo, in adults with major depressive or anxiety disorders. The primary effect size was calculated from disorder-specific outcome measures as the difference between CBT and pharmacotherapy outcomes (i.e., positive effect size favors CBT; negative effect size favors pharmacotherapy). Twenty-one anxiety (N = 1,266) and twenty-one depression (N = 2,027) studies comparing medication to CBT were included. Including all anxiety disorders, the overall effect size was.25 (95% CI: -0.02, 0.55, P =.07). Effects for panic disorder significantly favored CBT over medications (.50, 95% CI: 0.02, 0.98). Obsessive-compulsive disorder showed similar effects-sizes, though not statistically significant (.49, 95% CI: -0.11, 1.09). Medications showed a nonsignificant advantage for social anxiety disorder (-.22, 95% CI: -0.50, 0.06). The overall effect size for depression studies was.05 (95% CI: -0.09, 0.19), with no advantage for medications or CBT. Pooling anxiety disorder and depression studies, the omnibus comparison of the relative difference between anxiety and depression in effectiveness for CBT versus pharmacotherapy pointed to a nonsignificant advantage for CBT in anxiety versus depression (B =.14, 95% CI: -0.14, 0.43). On balance, the evidence presented here indicates that there are at most very modest differences in effects of CBT versus pharmacotherapy in the treatment of anxiety versus depressive disorders. There seems to be larger differences between the anxiety disorders in terms of their relative responsiveness to pharmacotherapy versus CBT. © 2011 Wiley-Liss, Inc.

  6. Randomized, Controlled Trial of CBT Training for PTSD Providers

    Science.gov (United States)

    2016-10-01

    B.C. September 25 – September 26, 2015 Evaluating Clinicians’ Use of a Web-based Training in Cognitive Behavioral Therapy for PTSD : Impact on...Psychologically-based treatments and cognitive behavioral therapy (CBT) interventions have been shown to be effective in alleviating symptoms of Post...training methods across a variety of treatment settings. KEYWORDS Behavioral Task Assignment (BTA) Chain Analysis (CA) Cognitive behavioral

  7. Cognitive behavioural therapy (CBT) for adults and adolescents with asthma.

    Science.gov (United States)

    Kew, Kayleigh M; Nashed, Marina; Dulay, Valdeep; Yorke, Janelle

    2016-09-21

    People with asthma have a higher prevalence of anxiety and depression than the general population. This is associated with poorer asthma control, medication adherence, and health outcomes. Cognitive behavioural therapy (CBT) may be a way to improve the quality of life of people with asthma by addressing associated psychological issues, which may lead to a lower risk of exacerbations and better asthma control. To assess the efficacy of CBT for asthma compared with usual care. We searched the Cochrane Airways Group Specialised Register, ClinicalTrials.gov, and the World Health Organization International Clinical Trials Registry Platform (WHO ICTRP). We also searched reference lists of all primary studies and review articles and contacted authors for unpublished data. The most recent searches were conducted in August 2016. We included parallel randomised controlled trials (RCTs) comparing any cognitive behavioural intervention to usual care or no intervention. We included studies of adults or adolescents with asthma, with or without comorbid anxiety or depression. We included studies reported as full text, those published as abstract only, and unpublished data. Two or more review authors independently screened the search results, extracted data, and assessed included studies for risk of bias. We analysed dichotomous data as odds ratios (ORs) and continuous data as mean differences (MDs) or standardised mean differences (SMD) where scales varied across studies, all using a random-effects model. The primary outcomes were asthma-related quality of life and exacerbations requiring at least a course of oral steroids. We rated all outcomes using GRADE and presented our confidence in the results in a 'Summary of findings' table. We included nine RCTs involving 407 adults with asthma in this review; no studies included adolescents under 18. Study size ranged from 10 to 94 (median 40), and mean age ranged from 39 to 53. Study populations generally had persistent asthma, but

  8. System of Interactions of Social Actors in Public Communication of Science and Technology

    Directory of Open Access Journals (Sweden)

    Miriam Graciela Miquilena

    2010-11-01

    Full Text Available This paper presents the results of a research aimed at explaining the system of interactions of social actors in Public Communication of Science and Technology (PCST, in the context of a social web defined by the novel systems of communication sustained on informational and communication technologies. The study’s theoretical framework highlights the strategic importance of a Public Communication  which focuses on promoting public appropriation of Science and Technology, going beyond the role of Journalism and Science Communication that informs a qualified public, to one that stablishes a bond with policies and decision making in the area, made with participation of international agencies, governments, producers of science and technology, journalists’ associations, educational institutions, and citizens. The research relies on Explicative Methodology. A revision of pertinent bibliography leads to the conclusion that the system of social interactions mediated by personal, interpersonal and grupal global communications, define the relationships in the communicational exchange of the social actor with regard to public communication of science and technology and policies aimed at its appropriation.

  9. Using innovative instructional technology to meet training needs in public health: a design process.

    Science.gov (United States)

    Millery, Mari; Hall, Michelle; Eisman, Joanna; Murrman, Marita

    2014-03-01

    Technology and distance learning can potentially enhance the efficient and effective delivery of continuing education to the public health workforce. Public Health Training Centers collaborate with instructional technology designers to develop innovative, competency-based online learning experiences that meet pressing training needs and promote best practices. We describe one Public Health Training Center's online learning module design process, which consists of five steps: (1) identify training needs and priority competencies; (2) define learning objectives and identify educational challenges; (3) pose hypotheses and explore innovative, technology-based solutions; (4) develop and deploy the educational experience; and (5) evaluate feedback and outcomes to inform continued cycles of revision and improvement. Examples illustrate the model's application. These steps are discussed within the context of design practices in the fields of education, engineering, and public health. They incorporate key strategies from across these fields, including principles of programmatic design familiar to public health professionals, such as backward design. The instructional technology design process we describe provides a structure for the creativity, collaboration, and systematic strategies needed to develop online learning products that address critical training needs for the public health workforce.

  10. Transdiagnostic group CBT vs. standard group CBT for depression, social anxiety disorder and agoraphobia/panic disorder

    DEFF Research Database (Denmark)

    Arnfred, Sidse M.; Aharoni, Ruth; Hvenegaard, Morten

    2017-01-01

    Disorders” (UP-CBT) for group delivery in Mental Health Service (MHS), and shown effects comparable to traditional CBT in a naturalistic study. As the use of one manual instead of several diagnosis-specific manuals could simplify logistics, reduce waiting time, and increase therapist expertise compared......, Social Anxiety Disorder and Agoraphobia/Panic Disorder. In total, 248 patients are recruited from three regional MHS centers across Denmark and included in two intervention arms. The primary outcome is patient-ratings of well-being (WHO Well-being Index, WHO-5), secondary outcomes include level...... of depressive and anxious symptoms, personality variables, emotion regulation, reflective functioning, and social adjustment. Assessments are conducted before and after therapy and at 6 months follow-up. Weekly patient-rated outcomes and group evaluations are collected for every session. Outcome assessors...

  11. The value of communication in changing public perception on nuclear technology: an experience with college students

    International Nuclear Information System (INIS)

    Soares, Wellington Antonio

    2009-01-01

    Nowadays public acceptance is the most frequent keyword used in the Brazilian nuclear scenario with the revival of the nuclear program, in which the construction of more nuclear power plants and a national radioactive waste repository are expected. The acceptance of such activities is tightly linked to a strategic communication plan, the effective tool to be implemented if success is intended. Isolated communication actions are being done in the nuclear area and this paper presents one example of them, describing the experience with college students from two educational institutions, who attended the lecture 'Nuclear technology: prejudice, fundamentals, applications and challenges'. Opinion surveys were done before and after each event, to know the opinions towards nuclear technology. The surveys were based on the choice of three words from about 10 not ordered stimulating keywords and each participant was invited to choose the first three ones that could represent the image he/she had when faced with the theme 'nuclear technology'. The lecture included topics covering positive and negative points of the nuclear technology. The measured results after the lectures shown positive perspective in the first images associated with the nuclear technology, despite focus on accidents was given in the final part of the event. The results show that some effectiveness on the target public was achieved in terms of bringing new perceptions on this technology. It is expected that this article can contribute somehow to the discussion of public acceptance of nuclear technology in Brazil. (author)

  12. Public acceptance of CO2 capture and storage technology : a survey of public opinion to explore influential factors

    International Nuclear Information System (INIS)

    Itaoka, K.; Saito, A.; Akai, M.

    2005-01-01

    A potentially effective tool in managing carbon emissions is carbon capture and storage technology (CCS). However, its effectiveness depends on its acceptability by the public, and very little is known about how willing the general public will accept various options of CCS. This paper presented the results of a study that assessed general perceptions of various forms of CCS and identified various factors that influence public acceptance of CCS. Two versions of a survey were administered and conducted in Tokyo and Sapporo, Japan in December 2003. The paper discussed the design of the questionnaire as well as the administration of the survey. One version of the survey provided limited education about CCS, while another version, provided more extensive information about CCS. The data analysis methodology was also described with reference to factor analysis, comparisons of means and rank order distributions, and multiple regression. Last, the study findings and results were presented. The findings suggest that the general public was supportive of CCS as part of a larger national climate policy, although it was opposed to the implementation of specific CCS options involving deep-sea dilution option of ocean storage, lake type option of ocean storage, onshore option of geological storage, and offshore option of geological storage. In addition, it was found that education about CCS affected public acceptance. The more information respondents obtained about CCS, the more likely they were to be supportive of those storage options, except for onshore option of geological storage. 4 refs., 3 tabs

  13. A Conceptual Model of Technology Transfer for Public Universities in Mexico

    Directory of Open Access Journals (Sweden)

    Hugo Necoechea

    2013-12-01

    Full Text Available Technology transfer from academic and scientific institutions has been transformed into a strategic variable for companies and nations who wish to cope with the challenges of a global economy. Since the early 1970s, many technology transfer models have tried to introduce key factors in the process. Previous studies have shown that technology transfer is influenced by various elements. This study is based on a review of two recent technology transfer models that we have used as basic concepts for developing our own conceptual model. Researcher–firm networks have been considered as key elements in the technology transfer process between public universities and firms. The conceptual model proposed could be useful to improve the efficiency of existing technology transfer mechanisms.

  14. Technological innovation and its effect on public health in the United States

    Science.gov (United States)

    Gill, Preetinder Singh

    2013-01-01

    Background Good public health ensures an efficient work force. Organizations can ensure a prominent position on the global stage by staying on the leading edge of technological development. Public health and technological innovation are vital elements of prosperous economies. It is important to understand how these elements affect each other. This research study explored and described the relationship between these two critical elements/constructs. Methods Indicators representing technological innovation and public health were identified. Indicator data from 2000 to 2009 were collected from various US federal government sources, for the four US Census regions. The four US Census regions were then compared in terms of these indicators. Canonical correlation equations were formulated to identify combinations of the indicators that are strongly related to each other. Additionally, the cause–effect relationship between public health and technological innovation was described using the structural equation modeling technique. Results The four US Census regions ranked differently in terms of both type of indicators in a statistically significant manner. The canonical correlation analysis showed that the first set of canonical variables had a fairly strong relationship, with a magnitude > 0.65 at the 95% confidence interval, for all census regions. Structural equation modeling analysis provided β 12.98, for all census regions. The threshold Student’s t statistic was 1.98. Hence, it was found that the β values were significant at the 95% confidence interval, for all census regions. Discussion The results of the study showed that better technological innovation indicator scores were associated with better public health indicator scores. Furthermore, the study provided preliminary evidence that technological innovation shares causal relation with public health. PMID:23378771

  15. Digital technologies for population health and health equity gains: the perspective of public health associations.

    Science.gov (United States)

    Chauvin, James; Perera, Yoshith; Clarke, Michael

    2016-11-01

    Digital technology (DT) plays an increasingly important role in the health sector. This study explores how national public health associations (PHAs) use DT to achieve their mandate. The World Federation of Public Health Associations canvassed and conducted a semi-structured interview with its national public health association members about their use of DT, the challenges they encounter in using it, and their experiences and thoughts as to how to assess its impact, both organizationally as well as on population health and health equity. The study found that digital technology plays an important role in some PHAs, principally those in higher income countries. PHAs want to broaden their use within PHAs and to assess how DT enables PHAs to achieve their organizational mandates and goals, including improved public health and health equity.

  16. Socializing the public: invoking Hannah Arendt's critique of modernity to evaluate reproductive technologies.

    Science.gov (United States)

    Sperling, Daniel

    2012-02-01

    The article examines the writings of one of the most influential political philosophers, Hannah Arendt, and specifically focuses on her views regarding the distinction between the private and the public and the transformation of the public to the social by modernity. Arendt's theory of human activity and critique of modernity are explored to critically evaluate the social contributions and implications of reproductive technologies especially where the use of such technologies is most dominant within Western societies. Focusing on empirical studies on new reproductive technologies in Israel, it is argued, powerfully demonstrates Arendt's theory, and broadens the perspectives through which society should evaluate these new technologies towards a more reflective understanding of its current laws and policies and their affect on women more generally.

  17. Use of communication technology among public health professionals in New South Wales, Australia.

    Science.gov (United States)

    Naylor, Carlie-Jane; Madden, D Lynne; Oong, Deborah J

    2007-01-01

    We explored how six forms of communication technology (teleconferencing, web bulletin boards, web conferencing, videoconferencing, media streaming and satellite television) are currently being used in public health work in NSW. Twelve public health professionals working in the NSW health service were interviewed. Teleconferencing and videoconferencing were the most commonly used forms of communication technology. Factors that facilitated use included ease of access to facilities and assistance in organising and setting up the technique. Barriers to use included cost and the perception that the equipment was hard to set up and operate. Participants identified factors that assisted them to engage with these techniques.

  18. Costs and Technology of Public Transit Systems in Italy:Some Insights to Face Inefficiency

    OpenAIRE

    Giovanni Fraquelli; Massimiliano Piacenza; Graziano Abrate

    2001-01-01

    This study provides fresh evidence about the characteristics of technology and cost structure of public transit systems in Italy. The aim is to suggest useful guidelines for facing detected inefficiencies. The analysis is carried out through the estimation of a translog variable cost function. The sample includes 45 Italian public companies. Firms are observed in the years 1996, 1997 and 1998, and operate both in the urban and extra-urban compartments. Results support previous evidence on the...

  19. The role of public-private partnership for effective technology transfer

    OpenAIRE

    Albena Vutsova

    2014-01-01

    An effective technology transfer and the role of cooperation between the public and private sectors take a significant place in the modern development of economies based on knowledge. The rapid development of technology and innovation are the main features of this new content in their society. Economic changes due to innovation provoke important changes in policies and are significantly affected by the level of investments to sectors such as education and social science. Innovative develop...

  20. Public Information on the Nuclear Energy and Advanced Technology Agency of Cuba

    International Nuclear Information System (INIS)

    Contreras Izquierdo, Marta Alicia

    2007-01-01

    The mission of the Nuclear Energy and Advanced Technology Agency of Cuba is the promoting and controlling of the peaceful use of nuclear energy and radiation application; additionally, they have to inform the general public about those technologies. The main of this work is to expose the methodology and results of the studies of the attitudes toward the nuclear applications of the users of the nuclear techniques

  1. Public Enlightenment Education on the Acceptance of Fingerprint Biometric Technology for Administration in Academic Institutions and Other Organizations

    Science.gov (United States)

    Eze, Samuel Godwin; Chijioke, Edmond Ogochukwu

    2016-01-01

    This research presents the overview of the origin of fingerprint biometric technology, the opinion of the public on the acceptance of fingerprint biometric technology and the means of instilling confidence on the public for the total acceptance of the technology. Data was collected with the aid of a lecture and structured questionnaires…

  2. Public dialogue on physics and related technology after the Fukushima Daiichi nuclear accident

    Science.gov (United States)

    Sasao, Mamiko

    2015-12-01

    After the Fukushima Daiichi Nuclear Accident, the importance of bottom-up and two-way dialogue between scientists and the public has been recognized. In such dialogue, information provided must accurately match the public's interest and ability regarding science and technology. We have started to investigate what people want to know about physics. Some were interested in energy security (a particular concern in Japan), but others were concerned about radioactivity in food and natural radiation background. The conversations revealed that physicists often give insufficient explanations of the biological effects of radiation and highlighted key points for physicists to make when talking with the public.

  3. Adoption of New Technologies in a Highly Uncertain Environment: The Case of Egyptian Public Banks

    Science.gov (United States)

    Khedr, A.; Borgman, H.

    What is the relation between the process of adopting new technologies, and its impact on business value, in situations of high internal and external uncertainty? Whereas technology adoption is generally fairly well understood, the models do not seem to hold in situations of high uncertainty. The aim of this paper is to investigate the impact of this uncertainty, using a case study on the introduction of a new technology in a large Egyptian public bank. After exploring the most relevant uncertainty factors and their impact on the adoption process, the paper ends with a general discussion and conclusion.

  4. Technology Integration Division FY 1992 Public Participation Program Management and Implementation Plan

    International Nuclear Information System (INIS)

    1991-12-01

    The mission of the Office of Technology Development (OTD), to develop and apply existing and innovative environmental restoration and waste management technologies to the cleanup to Department of Energy (DOE) sites and facilities in accordance with applicable regulations, is to be carried out through the central mechanisms of the Integrated Demonstration (ID) and Integrated Program (IP). Regulations include provisions for public participation in DOE decision making regarding IDs. Beyond these requirements, DOE seeks to foster a more open culture in which public participation, based on two-way communication between DOE and the public, is not only welcomed, but actively encouraged. The public to which the Program is addressed actually consists of several distinct ''publics:'' state and local government officials; Indian tribes; citizen groups and individuals concerned about specific issues; citizen groups or individuals who are opinion leaders in their communities; other federal agencies; private industry; and academia involved in IDs. Participation of these publics in decision making means that their concerns, needs, objectives, and other input are identified by two-way communication between them and DOE, and that these factors are considered when decisions made about OTD activities. This plan outlines the TIPs Public Participation Program goals, objectives, and steps to be taken during Fiscal Year (FY) 1992 to move toward those goals and objectives, based on the challenges and opportunities currently recognized or assumed

  5. Eliciting Public Attitudes Regarding Bioremediation Cleanup Technologies: Lessons Learned from a Consensus Workshop in Idaho

    International Nuclear Information System (INIS)

    Denise Lach, Principle Investigator; Stephanie Sanford, Co-P.I.

    2003-01-01

    During the summer of 2002, we developed and implemented a ''consensus workshop'' with Idaho citizens to elicit their concerns and issues regarding the use of bioremediation as a cleanup technology for radioactive nuclides and heavy metals at Department of Energy (DOE) sites. The consensus workshop is a derivation of a technology assessment method designed to ensure dialogue between experts and lay people. It has its origins in the United States in the form of ''consensus development conferences'' used by the National Institutes of Health (NIH) to elicit professional knowledge and concerns about new medical treatments. Over the last 25 years, NIH has conducted over 100 consensus development conferences. (Jorgensen 1995). The consensus conference is grounded in the idea that technology assessment and policy needs to be socially negotiated among many different stakeholders and groups rather than narrowly defined by a group of experts. To successfully implement new technology, the public requires access to information that addresses a full complement of issues including understanding the organization proposing the technology. The consensus conference method creates an informed dialogue, making technology understandable to the general public and sets it within perspectives and priorities that may differ radically from those of the expert community. While specific outcomes differ depending on the overall context of a conference, one expected outcome is that citizen panel members develop greater knowledge of the technology during the conference process and, sometimes, the entire panel experiences a change in attitude toward the technology and/or the organization proposing its use (Kluver 1995). The purpose of this research project was to explore the efficacy of the consensus conference model as a way to elicit the input of the general public about bioremediation of radionuclides and heavy metals at Department of Energy sites. Objectives of the research included: (1

  6. Developing Public Policies for New Welfare Technologies – A Case Study of Telemedicine and Telehomecare

    DEFF Research Database (Denmark)

    Tambo, Torben

    2012-01-01

    and communication-based technologies (ICT) for homecare and monitoring (telemedicine, telehomecare). Despite major investments and national commitment, public policies have not yet found a general approach to move from technological and clinical opportunity and into large-scale regular use of the technology...... (normalisation). This article provides two case studies from Denmark; one case with hypertension monitoring at a local level and another case on national policy implementation through funding of selected demonstration projects. Among the findings are that policy-making processes certainly face major challenges...... in capturing research and development for the transition of technologies into working practice. Furthermore, policy approaches of supporting experimentation and demonstration are found inadequate in promoting technology into a level of normalisation in highly cross-organisational operational environments...

  7. Exploring the Digital Divide: The Use of Digital Technologies in Ontario Public Schools

    Science.gov (United States)

    Chen, Bodong

    2015-01-01

    Combining data from a school principal survey with student demographics and achievement data, the present study aimed to develop a much needed understanding of ICT usage in Ontario's K-12 public schools. Results indicated equitable first-order access to technology for schools, early integration of ICT from the earliest grades, frequent application…

  8. The State of Public Opinion Research on Attitudes and Understanding of Science and Technology

    Science.gov (United States)

    Besley, John C.

    2013-01-01

    This article provides a critical and global overview of current research into public opinion about science and technology (S&T). Although several sets of high-quality data exist, there remains a lack of international coordination and irregular release of new data in forms that can be widely used. The article highlights a range of key…

  9. U.S. Public Libraries and the Use of Web Technologies. A Closer Look

    Science.gov (United States)

    Lietzau, Zeth

    2009-01-01

    The use of interactive web technologies on public library web sites in the United States has been a topic of much discussion in recent years, and a shift in certain types of user services is underway. Terms like "Web 2.0" and even "Library 2.0" have become common in library literature and at conferences as those on the early…

  10. The US Public Sector and Its Adoption of Service Oriented Technology

    Science.gov (United States)

    Coleman, David W.

    2012-01-01

    Information Technology (IT) provides public sector organizations the capability to provide real increases in organizational effectiveness by aiding in the efficient exchange of information. Adoption of advanced IT such as service oriented environments, Web 2.0, and bespoke systems such as Enterprise Resource Planning (ERP) promises to markedly…

  11. Information Technology Usage for Epidemiological Functions in U.S. State Public Health Departments

    Science.gov (United States)

    Stokes, Linda C.

    2012-01-01

    Information technology (IT) use for epidemiological purposes in state public health departments has been documented only for a limited number of specific applications, leaving questions about its actual utilization and hindering IT's potential for information sharing. Communications, stages of change, and systems theories all influence the…

  12. The role of scientific knowledge in shaping public attitudes to GM technologies

    DEFF Research Database (Denmark)

    Mielby, Henrik Ole; Sandøe, Peter; Lassen, Jesper

    2013-01-01

    Depending on the perceived balance of risk and benefit, and on the perceived unnaturalness, some applications of gene technology appear more acceptable to the public than others. This study asks whether a person’s knowledge of biology affects their assessment of these factors differently. A random...

  13. Where has the public gone and will communications technology bring them back?

    International Nuclear Information System (INIS)

    Hutterman, L.; Smith, R.

    1997-01-01

    This paper addresses the decreasing number of persons interested and participating in the Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA) or open-quotes Superfundclose quotes process. It also looks at communications technology to bring people back into participation in the Superfund process. The material studied and the technologies evaluated involve the Environmental Restoration Program at the Idaho National Engineering and Environmental Laboratory. The conclusions are probably valid for most DOE Superfund activities. Where has the public gone? The public has taken an interest in issues that they perceive have greater impact on their quality of life and that have an adverse impact on the environment, such as the shipment and storage of spent nuclear fuel. Will communications technology bring them back? Technology can do many things: it can reduce cost; it can allow quicker access to and from the public; it can offer more information; and it can increase interest because of its novelty for short periods of time, but it will not, in and of its own, create public involvement

  14. Vehicle-to-Vehicle crash avoidance technology : public acceptance final report.

    Science.gov (United States)

    2015-12-01

    The Vehicle-to-Vehicle (V2V) Crash Avoidance Public Acceptance report summarizes data from a survey of the current level of awareness and acceptance of V2V technology. The survey was guided by findings from prior studies and 12 focus groups. A total ...

  15. Dynamics and distribution of public and private research and extension roles for technological innovation and diffusion

    NARCIS (Netherlands)

    Eastwood, C.; Klerkx, L.; Nettle, R.

    2017-01-01

    Precision farming technologies represent an innovation challenge in terms of their diffusion into farming practice, and create a new dynamic for research and extension roles. The purpose of this paper is to examine the interaction and distribution of research and extension roles of public,

  16. European public deliberation on brain machine interface technology: five convergence seminars.

    Science.gov (United States)

    Jebari, Karim; Hansson, Sven-Ove

    2013-09-01

    We present a novel procedure to engage the public in ethical deliberations on the potential impacts of brain machine interface technology. We call this procedure a convergence seminar, a form of scenario-based group discussion that is founded on the idea of hypothetical retrospection. The theoretical background of this procedure and the results of five seminars are presented.

  17. Patient and public involvement in scope development for a palliative care health technology assessment in europe

    NARCIS (Netherlands)

    Brereton, L.; Goyder, E.; Ingleton, C.; Gardiner, C.; Chilcott, J.; Wilt, G.J. van der; Oortwijn, W.; Mozygemba, K.; Lysdahl, K.B.; Sacchini, D.; Lepper, W.

    2014-01-01

    BACKGROUND: Patient and Public Involvement (PPI) helps to ensure that study findings are useful to end users but is under-developed in Health Technology Assessment (HTA). "INTEGRATE-HTA, (a co-funded European Union project -grant agreement 30614) is developing new methods to assess complex health

  18. Identifying the science and technology dimensions of emerging public policy issues through horizon scanning.

    Science.gov (United States)

    Parker, Miles; Acland, Andrew; Armstrong, Harry J; Bellingham, Jim R; Bland, Jessica; Bodmer, Helen C; Burall, Simon; Castell, Sarah; Chilvers, Jason; Cleevely, David D; Cope, David; Costanzo, Lucia; Dolan, James A; Doubleday, Robert; Feng, Wai Yi; Godfray, H Charles J; Good, David A; Grant, Jonathan; Green, Nick; Groen, Arnoud J; Guilliams, Tim T; Gupta, Sunjai; Hall, Amanda C; Heathfield, Adam; Hotopp, Ulrike; Kass, Gary; Leeder, Tim; Lickorish, Fiona A; Lueshi, Leila M; Magee, Chris; Mata, Tiago; McBride, Tony; McCarthy, Natasha; Mercer, Alan; Neilson, Ross; Ouchikh, Jackie; Oughton, Edward J; Oxenham, David; Pallett, Helen; Palmer, James; Patmore, Jeff; Petts, Judith; Pinkerton, Jan; Ploszek, Richard; Pratt, Alan; Rocks, Sophie A; Stansfield, Neil; Surkovic, Elizabeth; Tyler, Christopher P; Watkinson, Andrew R; Wentworth, Jonny; Willis, Rebecca; Wollner, Patrick K A; Worts, Kim; Sutherland, William J

    2014-01-01

    Public policy requires public support, which in turn implies a need to enable the public not just to understand policy but also to be engaged in its development. Where complex science and technology issues are involved in policy making, this takes time, so it is important to identify emerging issues of this type and prepare engagement plans. In our horizon scanning exercise, we used a modified Delphi technique. A wide group of people with interests in the science and policy interface (drawn from policy makers, policy adviser, practitioners, the private sector and academics) elicited a long list of emergent policy issues in which science and technology would feature strongly and which would also necessitate public engagement as policies are developed. This was then refined to a short list of top priorities for policy makers. Thirty issues were identified within broad areas of business and technology; energy and environment; government, politics and education; health, healthcare, population and aging; information, communication, infrastructure and transport; and public safety and national security.

  19. Identifying the science and technology dimensions of emerging public policy issues through horizon scanning.

    Directory of Open Access Journals (Sweden)

    Miles Parker

    Full Text Available Public policy requires public support, which in turn implies a need to enable the public not just to understand policy but also to be engaged in its development. Where complex science and technology issues are involved in policy making, this takes time, so it is important to identify emerging issues of this type and prepare engagement plans. In our horizon scanning exercise, we used a modified Delphi technique. A wide group of people with interests in the science and policy interface (drawn from policy makers, policy adviser, practitioners, the private sector and academics elicited a long list of emergent policy issues in which science and technology would feature strongly and which would also necessitate public engagement as policies are developed. This was then refined to a short list of top priorities for policy makers. Thirty issues were identified within broad areas of business and technology; energy and environment; government, politics and education; health, healthcare, population and aging; information, communication, infrastructure and transport; and public safety and national security.

  20. The design of civic technology: factors that influence public participation and impact.

    Science.gov (United States)

    May, Andrew; Ross, Tracy

    2018-02-01

    Civic technology needs to be better understood in terms of the factors that promote representative public participation and impact. This paper reports on a mixed-methods study of a civic tech platform that enabled the public to provide feedback on public transport to the service providers. The overall aim of this research was to investigate the public's use of a leading civic tech platform, FixMyTransport. The key findings were that: an effective and easy-to-use civic technology platform enables broad participation; data and process complexity need to be removed; factual information can be captured in situ with impacts, consequences and opinions added later; emotions (if important) need to be explicitly elicited; feedback to, and a 'conversation' with, the users is important for engagement, as is a feeling of being part of a community. These findings can contribute to the future design of civic technology platforms. Practitioner Summary: There is a lack of understanding of how 'civic tech' platforms are used and how they may be designed for maximum effectiveness. Multiple data collection methods were used to investigate a well-developed example of civic tech. Effective civic tech can enable broad democratic participation to improve public services.

  1. Identifying the Science and Technology Dimensions of Emerging Public Policy Issues through Horizon Scanning

    Science.gov (United States)

    Parker, Miles; Acland, Andrew; Armstrong, Harry J.; Bellingham, Jim R.; Bland, Jessica; Bodmer, Helen C.; Burall, Simon; Castell, Sarah; Chilvers, Jason; Cleevely, David D.; Cope, David; Costanzo, Lucia; Dolan, James A.; Doubleday, Robert; Feng, Wai Yi; Godfray, H. Charles J.; Good, David A.; Grant, Jonathan; Green, Nick; Groen, Arnoud J.; Guilliams, Tim T.; Gupta, Sunjai; Hall, Amanda C.; Heathfield, Adam; Hotopp, Ulrike; Kass, Gary; Leeder, Tim; Lickorish, Fiona A.; Lueshi, Leila M.; Magee, Chris; Mata, Tiago; McBride, Tony; McCarthy, Natasha; Mercer, Alan; Neilson, Ross; Ouchikh, Jackie; Oughton, Edward J.; Oxenham, David; Pallett, Helen; Palmer, James; Patmore, Jeff; Petts, Judith; Pinkerton, Jan; Ploszek, Richard; Pratt, Alan; Rocks, Sophie A.; Stansfield, Neil; Surkovic, Elizabeth; Tyler, Christopher P.; Watkinson, Andrew R.; Wentworth, Jonny; Willis, Rebecca; Wollner, Patrick K. A.; Worts, Kim; Sutherland, William J.

    2014-01-01

    Public policy requires public support, which in turn implies a need to enable the public not just to understand policy but also to be engaged in its development. Where complex science and technology issues are involved in policy making, this takes time, so it is important to identify emerging issues of this type and prepare engagement plans. In our horizon scanning exercise, we used a modified Delphi technique [1]. A wide group of people with interests in the science and policy interface (drawn from policy makers, policy adviser, practitioners, the private sector and academics) elicited a long list of emergent policy issues in which science and technology would feature strongly and which would also necessitate public engagement as policies are developed. This was then refined to a short list of top priorities for policy makers. Thirty issues were identified within broad areas of business and technology; energy and environment; government, politics and education; health, healthcare, population and aging; information, communication, infrastructure and transport; and public safety and national security. PMID:24879444

  2. Technological Developments That Will Influence Teachers' Use of Technology to Improve Student Learning in California's Public Middle Schools by the Year 2017

    Science.gov (United States)

    Solorzano, Monica

    2013-01-01

    Purpose. The purpose of this study was to (a) identify 5 top developments in educational technology that will be available to California's public middle schools in the next 5 years, (b) determine the likelihood of implementing these technological developments in California's public middle schools in the next 5 years, (c) determine the impact these…

  3. How can public policies accelerate the progress in technologies for the struggle against climate change?

    International Nuclear Information System (INIS)

    Vieillefosse, A.

    2008-01-01

    After having recalled the three stages of the technical progress according to Schumpeter (invention, innovation and diffusion), and the roles of R and D and learning in this process, the author briefly comments the cost evolution of different energy production technologies between 1980 and 1995, proposes a simple modelling of the learning system under the influence of public policies, and indicates the research themes by 2050. Then, she discusses the fact that the R and D level is not socially optimal, notably because of market imperfections, and also because some innovations may have applications within a time which is too long for companies. This is the reason why the State generally takes care of fundamental research. She discusses either demand-based or supply-based public policies aiming at accelerating the progress in low carbon technologies, describes the international cooperation in R and D (agreement on research on low carbon technologies, standards), and how to promote the diffusion of technology towards developing countries (problem of emission increase in these countries, technology transfer in general and within the frame of the convention on climate change, public development support and direct foreign investments)

  4. Informed public preferences for electricity portfolios with CCS and other low-carbon technologies.

    Science.gov (United States)

    Fleishman, Lauren A; De Bruin, Wändi Bruine; Morgan, M Granger

    2010-09-01

    Public perceptions of carbon capture and sequestration (CCS) and other low-carbon electricity-generating technologies may affect the feasibility of their widespread deployment. We asked a diverse sample of 60 participants recruited from community groups in Pittsburgh, Pennsylvania to rank 10 technologies (e.g., coal with CCS, natural gas, nuclear, various renewables, and energy efficiency), and seven realistic low-carbon portfolios composed of these technologies, after receiving comprehensive and carefully balanced materials that explained the costs and benefits of each technology. Rankings were obtained in small group settings as well as individually before and after the group discussions. The ranking exercise asked participants to assume that the U.S. Congress had mandated a reduction in carbon dioxide emissions from power plants to be built in the future. Overall, rankings suggest that participants favored energy efficiency, followed by nuclear power, integrated gasification combined-cycle coal with CCS and wind. The most preferred portfolio also included these technologies. We find that these informed members of the general public preferred diverse portfolios that contained CCS and nuclear over alternatives once they fully understood the benefits, cost, and limitations of each. The materials and approach developed for this study may also have value in educating members of the general public about the challenges of achieving a low-carbon energy future. © 2010 Society for Risk Analysis.

  5. Clinician Perceptions Related to the Use of the CBT-I Coach Mobile App.

    Science.gov (United States)

    Miller, Katherine E; Kuhn, Eric; Owen, Jason E; Taylor, Katherine; Yu, Jessica S; Weiss, Brandon J; Crowley, Jill J; Trockel, Mickey

    2017-11-09

    Clinicians' perceptions of CBT-I Coach, a patient-facing mobile app for cognitive-behavioral therapy for insomnia (CBT-I), are critical to its adoption and integration into practice. Diffusion of innovations theory emphasizes the influence of perceptions, including the relative advantage to current practice, the compatibility to clinicians' needs, the complexity, the innovation's trialability, and observability. This study intended to evaluate the use and perceptions of CBT-I Coach among Veterans Affairs (VA)-trained CBT-I clinicians. Clinicians (N = 108) were surveyed about their use, feedback, and perceptions of CBT-I Coach a year after the app became available. Overall perceptions of CBT-I Coach were favorable. Fifty percent of clinicians reported using CBT-I Coach, with 98% intending to continue use. The app was perceived to increase sleep diary completion and homework compliance. Clinicians viewed the app as providing accessibility to helpful tools and improving patient engagement. Of those not using the app, 83% endorsed intention to use it. Reasons for nonuse were lack of patient access to smart phones, not being aware of the app, not having time to learn it, and inability to directly access app data. Those who reported using CBT-I Coach had more favorable perceptions across all constructs (p CBT-I Coach, as well as study if reported benefits can be evidenced more directly.

  6. Hospital Adoption of Health Information Technology to Support Public Health Infrastructure.

    Science.gov (United States)

    Walker, Daniel M; Diana, Mark L

    2016-01-01

    Health information technology (IT) has the potential to improve the nation's public health infrastructure. In support of this belief, meaningful use incentives include criteria for hospitals to electronically report to immunization registries, as well as to public health agencies for reportable laboratory results and syndromic surveillance. Electronic reporting can facilitate faster and more appropriate public health response. However, it remains unclear the extent that hospitals have adopted IT for public health efforts. To examine hospital adoption of IT for public health and to compare hospitals capable of using and not using public health IT. Cross-sectional design with data from the 2012 American Hospital Association annual survey matched with data from the 2013 American Hospital Association Information Technology Supplement. Multivariate logistic regression was used to compare hospital characteristics. Inverse probability weights were applied to adjust for selection bias because of survey nonresponse. All acute care general hospitals in the United States that matched across the surveys and had complete data available were included in the analytic sample. Three separate outcome measures were used: whether the hospital could electronically report to immunization registries, whether the hospital could send electronic laboratory results, and whether the hospital can participate in syndromic surveillance. A total of 2841 hospitals met the inclusion criteria. Weighted results show that of these hospitals, 62.7% can electronically submit to immunization registries, 56.6% can electronically report laboratory results, and 54.4% can electronically report syndromic surveillance. Adjusted and weighted results from the multivariate analyses show that small, rural hospitals and hospitals without electronic health record systems lag in the adoption of public health IT capabilities. While a majority of hospitals are using public health IT, the infrastructure still has

  7. Strategic management of technology in public health sector in Kenya and South Africa.

    Science.gov (United States)

    Ogembo-Kachieng'a, M; Ogara, W O

    2004-06-01

    To investigate factors contributing to health care equipment problems and associated technological investments in public hospitals. The article reviews the processes of equipment planning, procurement and management. Analysis of results and observations from experts leads to recommendations and suggestions on good equipment management practices in public hospitals. It also provides recommendations for competitive utilisation of equipment in the public health sector. Health care equipment management in Kenya and South Africa in 1999/2000. INSTITUTIONS: A total of 10 public equipment maintenance institutions, and 38 equipment maintenance experts participated in the survey. Majority of the participants were drawn from teaching hospitals. It is evident that the way health technology is managed in health care institutions directly affects the quality of treatment patients receive. Although strategic importance of technology in health care has been documented widely in scientific literature; equipment planning, procurement and management have not received the attention they deserve in the transformation of health care services in the two countries under the survey. The growing demand for more and better health care greatly expands the role of health care equipment in the delivery of health services. Kenya and South Africa have tried various strategies to improve access, quality and cost-efficiency in the health care delivery systems. However it is clear that the optimal method has yet to be found. Good management of health care equipment increases efficiency in health care services and enhances health outcomes.

  8. THE IMPACT OF NEW INFORMATION AND COMMUNICATION TECHNOLOGIES IN PUBLIC INSTITUTIONS ACCOUNTING

    Directory of Open Access Journals (Sweden)

    Valentin Ioan UŞURELU

    2010-12-01

    Full Text Available The studied field has suffered continuous transformation, both in interaction with other scientific fields and in constituent sub-classes, for discovering and understanding more deeply the contemporary economic realities under the impact of major trends of world development. This paper aims to analyze the location and the effects of information and communication technologies within the public accounting in order to evaluate the effects of this element on accounting research, teaching and professional practice. In a comprehensive approach of public institutions accounting, new information and communication technologies represent a tool that facilitates the accounting function and realizes the connection between the transmitter and the receiver, both within and outside the organization, not just at the micro and macro economic level but also at the micro and macro social one. The advantages of recent progress of information and communication technologies are obvious for the organizations management. It highlights the developments and challenges represented by these new technologies for researchers and professionals in the idea of performing a broad and flexible view of public accounting enabling them to provide useful services for all categories of users of accounting information.

  9. Exploring technology diffusion in emerging markets – the role of public policy for wind energy

    International Nuclear Information System (INIS)

    Friebe, Christian A.; Flotow, Paschen von; Täube, Florian A.

    2014-01-01

    This study challenges the implicit assumption of homogeneity in national institutional contexts made in past studies of (renewable) energy policy. We propose that institutional differences matter by focusing on several technology-specific and generic policy factors that can foster technology diffusion through private sector activity. More specifically, we explore perceptions of early adopters in emerging economy contexts using wind park project developers as an example. By applying a parsimonious method for our questionnaire as well as qualitative data we make several contributions: Methodologically, we introduce Maximum Difference Scaling to the energy policy domain. Empirically, we identify several public influences on private investment, and assess their relative importance. This leads to new insights challenging findings from industrialized economies; we identified additional institutional barriers to diffusion, hence, the requirement of a combination of technology-specific and generic policy measures. - Highlights: • Explorative qualitative and quantitative study of project developers in emerging markets. • Identifies influencing factors for technology diffusion regarding wind farms. • Predictable public authorities and well-implemented public processes attract intern. project developers. • Feed-in-Tariffs and grid access guarantees are particularly appealing

  10. "It all depends": conceptualizing public involvement in the context of health technology assessment agencies.

    Science.gov (United States)

    Gauvin, Francois-Pierre; Abelson, Julia; Giacomini, Mita; Eyles, John; Lavis, John N

    2010-05-01

    There have been calls in recent years for greater public involvement in health technology assessment (HTA). Yet the concept of public involvement is poorly articulated and little attention has been paid to the context of HTA agencies. This article investigates how public involvement is conceptualized in the HTA agency environment. Using qualitative concept analysis methods, we reviewed the HTA literature and the websites of HTA agencies and conducted semi-structured interviews with informants in Canada, Denmark, and the United Kingdom. Our analysis reveals that HTA agencies' role as bridges or boundary organizations situated at the frontier of research and policymaking causes the agencies to struggle with the idea of public involvement. The HTA community is concerned with conceptualizing public involvement in such a way as to meet scientific and methodological standards without neglecting its responsibilities to healthcare policymakers. We offer a conceptual tool for analyzing the nature of public involvement across agencies, characterizing different domains, levels of involvement, and types of publics. Copyright (c) 2010 Elsevier Ltd. All rights reserved.

  11. Increased public participation in licensing installations according to the Nuclear Technology Act

    International Nuclear Information System (INIS)

    1996-01-01

    Proposals for amending the Nuclear Technology Act are given, and commented, in this report. The amendments will open the licensing procedures for public participation, obliging the operator to consult with concerned national and local authorities and interested organizations and individuals well in time before a license application is made. The consultation shall be performed in conjunction with the establishment of an environmental impact assessment. The authority preparing the licensing procedure should, as a part of this preparation, arrange to meet at the locality concerned, giving the public the right to comment the license application

  12. The Public and Nanotechnology: How Citizens Make Sense of Emerging Technologies

    Energy Technology Data Exchange (ETDEWEB)

    Scheufele, Dietram A. [University of Wisconsin, Madison School of Journalism and Mass Communication (United States)], E-mail: scheufele@wisc.edu; Lewenstein, Bruce V. [Cornell University, Department of Communication and Department of Science and Technology Studies (United States)

    2005-12-15

    We report findings from a national telephone survey on levels of knowledge about and attitudes toward nanotechnology that demonstrate how people make decisions about emerging technologies. Our findings confirm previous research that suggests that people form opinions and attitudes even in the absence of relevant scientific or policy-related information. In fact, our data show that cognitive shortcuts or heuristics - often provided by mass media - are currently a key factor in influencing how the public thinks about nanotechnology and about its risks and benefits, and in determining the level of support among the public for further funding for research in this area.

  13. Public dialogue on physics and related technology after the Fukushima Daiichi nuclear accident

    Energy Technology Data Exchange (ETDEWEB)

    Sasao, Mamiko [Organization for Research Initiatives and Development, Doshisha University, Kyoto (Japan)

    2015-12-31

    After the Fukushima Daiichi Nuclear Accident, the importance of bottom-up and two-way dialogue between scientists and the public has been recognized. In such dialogue, information provided must accurately match the public’s interest and ability regarding science and technology. We have started to investigate what people want to know about physics. Some were interested in energy security (a particular concern in Japan), but others were concerned about radioactivity in food and natural radiation background. The conversations revealed that physicists often give insufficient explanations of the biological effects of radiation and highlighted key points for physicists to make when talking with the public.

  14. The Public and Nanotechnology: How Citizens Make Sense of Emerging Technologies

    International Nuclear Information System (INIS)

    Scheufele, Dietram A.; Lewenstein, Bruce V.

    2005-01-01

    We report findings from a national telephone survey on levels of knowledge about and attitudes toward nanotechnology that demonstrate how people make decisions about emerging technologies. Our findings confirm previous research that suggests that people form opinions and attitudes even in the absence of relevant scientific or policy-related information. In fact, our data show that cognitive shortcuts or heuristics - often provided by mass media - are currently a key factor in influencing how the public thinks about nanotechnology and about its risks and benefits, and in determining the level of support among the public for further funding for research in this area

  15. Communicating the Future: Best Practices for Communication of Science and Technology to the Public

    Energy Technology Data Exchange (ETDEWEB)

    Porter, Gail

    2002-09-30

    To advance the state of the art in science and technology communication to the public a conference was held March 6-8, 2002 at the National Institute of Standards and Technology in Gaithersburg, MD. This report of the conference proceedings includes a summary statement by the conference steering committee, transcripts or other text summarizing the remarks of conference speakers, and abstracts for 48 "best practice" communications programs selected by the steering committee through an open competition and a formal peer review process. Additional information about the 48 best practice programs is available on the archival conference Web site at www.nist.gov/bestpractices.

  16. Reproductive technologies as social innovations in the system of public health

    Directory of Open Access Journals (Sweden)

    Raisa Viktorovna Nifantova

    2014-09-01

    Full Text Available The article is devoted to such important problem as Russians’ reproductive health worsening that defines health of posterity and viability of generations, and appreciably impacts on the birth rate. Statistics of contraception among women of reproductive age, statistics of induced abortions occurrence, statistics of primary, and secondary infertility are investigated. Data of Public Opinion Foundation on problems of child-free marriages and reproductive rights of citizens are given. Results of medical, scientific centers about additional reproductive technologies practice such as in vitro fertilization (EKO, surrogate motherhood, etc. are shown. The importance of state support of these technologies and liberalization of legal control of the realization of a desire to be parents as the most important tool of demographic policy is emphasized. The questions of raising the public importance of family planning, sex education, family and moral values among young formation, healthy lifestyle, responsible motherhood and paternity are explored in the article.

  17. Cognitive-Behavioral Therapy for Suicide Prevention (CBT-SP): Treatment Model, Feasibility, and Acceptability

    Science.gov (United States)

    Stanley, Barbara; Brown, Gregory; Brent, David A.; Wells, Karen; Poling, Kim; Curry, John; Kennard, Betsy D.; Wagner, Ann; Cwik, Mary F.; Klomek, Anat Brunstein; Goldstein, Tina; Vitiello, Benedetto; Barnett, Shannon; Daniel, Stephanie; Hughes, Jennifer

    2009-01-01

    Objective: To describe the elements of a manual-based cognitive-behavioral therapy for suicide prevention (CBT-SP) and to report its feasibility in preventing the recurrence of suicidal behavior in adolescents who have recently attempted suicide. Method: The CBT-SP was developed using a risk reduction and relapse prevention approach and…

  18. Pengaruh Cognitive Behavioral Therapy (CBT) Terhadap Self Efficacy Dan Self Care Behavior Pada Pasien Hipertensi

    OpenAIRE

    Manuntung, Alfeus

    2015-01-01

    Penderita hipertensi cenderung mengabaikan atau kurang menyadari karakter penyakit hipertensi. Ketidakpatuhan terhadap perilaku perawatan diri juga dapat berdampak buruk terhadap kesehatan yang dialami penderita hipertensi. Salah satu upaya untuk meningkatkan self efficacy dan self care behavior pada pasien hipertensi adalah melalui Cognitive Behavioral Therapy (CBT). Tujuan penelitian ini adalah untuk menganalisis pengaruh CBT terhadap self efficacy dan self care behavior pada pasien hiperte...

  19. Yoga-enhanced cognitive behavioural therapy (Y-CBT) for anxiety management: a pilot study.

    Science.gov (United States)

    Khalsa, Manjit K; Greiner-Ferris, Julie M; Hofmann, Stefan G; Khalsa, Sat Bir S

    2015-01-01

    Cognitive behavioural therapy (CBT) is an effective treatment for generalized anxiety disorder, but there is still room for improvement. The aim of the present study was to examine the potential benefit of enriching CBT with kundalini yoga (Y-CBT). Participants consisted of treatment resistant clients at a community mental health clinic. A total of 32 participants enrolled in the study and 22 completed the programme. After the Y-CBT intervention, pre-post comparisons showed statistically significant improvements in state and trait anxiety, depression, panic, sleep and quality of life. Results from this preliminary study suggest that Y-CBT may have potential as a promising treatment for those suffering from generalized anxiety disorder. Yoga-enhanced cognitive behavioural therapy (Y-CBT) may be a promising new treatment for those suffering from generalized anxiety disorder. Y-CBT may also reduce depression in those suffering from generalized anxiety. Y-CBT may reduce depression and anxiety in a clinic population where clients suffer from multiple diagnoses including generalized anxiety disorder. Copyright © 2014 John Wiley & Sons, Ltd.

  20. A Conceptual Design Model for CBT Development: A NATO Case Study

    Science.gov (United States)

    Kok, Ayse

    2014-01-01

    CBT (computer-based training) can benefit from the modern multimedia tools combined with network capabilities to overcame traditional education. The objective of this paper is focused on CBT development to improve strategic decision-making with regard to air command and control system for NATO staff in virtual environment. A conceptual design for…

  1. Implementation of CBT in School Settings: An Examination of the Barriers and Facilitators

    Science.gov (United States)

    Taylor, Jared C.

    2017-01-01

    Cognitive Behavioral Therapy (CBT) is a treatment method consisting of different interventions that have a long history of use with individuals with anxiety and depression. Despite CBT possessing a breadth of research support of which many interventions are considered evidenced based, the level of use in schools is not well known. Using the…

  2. Online CBT Is Effective in Overcoming Cultural and Language Barriers in Patients With Depression.

    Science.gov (United States)

    Alavi, Nazanin; Hirji, Alyssa; Sutton, Chloe; Naeem, Farooq

    2016-01-01

    The goal of this study was to evaluate the efficacy of weekly email in delivering online cognitive behavioral therapy (CBT) to treat mild to moderately depressed individuals. The effectiveness of the online CBT was measured following treatment and then again at a 6-month follow-up and was compared with outcomes in a waitlist control group. Participants were recruited through announcements on psychology Web sites, Iranian organization Web sites, and weblogs and flyers. Ninety-three individuals who met inclusion criteria, including a score >18 on the Beck Depression Inventory (BDI), participated in the study, with 47 randomly assigned to the CBT group and 46 to the control group. The CBT group received 10 to 12 sessions of online CBT conducted by a psychiatrist and a psychiatry resident. Following completion of the CBT, a second BDI was sent to participants. Another BDI was then sent to participants 6 months after the completion of treatment. Email-based CBT significantly reduced BDI scores compared with results in a waitlist control group following 10 to 12 weeks of treatment and at 6-month follow-up. Email is a viable method for delivering CBT to individuals when face-to-face interaction is not possible. Limitations and future directions are discussed.

  3. An Innovative Child CBT Training Model for Community Mental Health Practitioners in Ontario

    Science.gov (United States)

    Manassis, Katharina; Ickowicz, Abel; Picard, Erin; Antle, Beverley; McNeill, Ted; Chahauver, Anu; Mendlowitz, Sandra; Monga, Suneeta; Adler-Nevo, Gili

    2009-01-01

    Objective: Cognitive behavior therapy (CBT) for children has been shown efficacious, but community access to it is often limited by the lack of trained therapists. This study evaluated a child, CBT-focused, 20-session weekly group supervision seminar with a didactic component which was provided to community mental health practitioners by…

  4. EMDR versus CBT for children with self-esteem and behavioral problems: a randomized controlled trial

    NARCIS (Netherlands)

    Wanders, F.; Serra, M.; de Jongh, A.

    2008-01-01

    This study compared eye movement desensitization and reprocessing (EMDR) with cognitive-behavioral therapy (CBT). Twenty-six children (average age 10.4 years) with behavioral problems were randomly assigned to receive either 4 sessions of EMDR or CBT prior to usual treatment provided in outpatient

  5. Long-Term Effects of CBT on Social Impairment in Adolescents with ASD

    Science.gov (United States)

    Maddox, Brenna B.; Miyazaki, Yasuo; White, Susan W.

    2017-01-01

    Anxiety interventions involving social skills training and CBT for youth with ASD have shown promise, but few studies have examined the effects on social functioning or the maintenance of treatment gains. This study evaluated change in social skills during a randomized controlled trial of CBT and during the 1-year follow-up for 25 adolescents with…

  6. Engagement in Trauma-Specific CBT for Youth Post-9/11

    Science.gov (United States)

    Rodriguez, James; Hoagwood, Kimberly Eaton; Gopalan, Geetha; Olin, Serene; McKay, Mary M.; Marcus, Sue M.; Radigan, Marleen; Chung, Michelle; Legerski, Joanna

    2013-01-01

    Treatment participation was examined among youth enrolled in an evaluation of cognitive behavioral therapy (CBT) for trauma following the 9/11 World Trade Center disaster. Staff at nine agencies serving a predominantly low-income, ethnically diverse population were trained to deliver CBT and structured engagement strategies. A total of 445 youth…

  7. Using technology for bed management in public hospitals - A strategic analysis and change management plan

    OpenAIRE

    Brayan, Daniel Joseph

    2005-01-01

    As healthcare organisations in New South Wales, Australia, are facing the increased demands of an aging population, new approaches to improving access to services are being sought. This project explores the potential of applying information technology to the management of beds in a large Sydney public hospital. More specifically, this project addresses the cultural and organizational aspects of hospital environments and factors them into a change management plan for implementing bed managemen...

  8. The use of technology in relationship management: a public relations perspective.

    OpenAIRE

    2008-01-01

    The statement that the stable and developed world known to us no longer exists seems to be particularly relevant to the way in which organisations conduct their business and reposition themselves in the communication age. Organisations, as the context within which public relations functions, are threatened by increased competition and changes in key elements of market relationships as a result of global information technology developments and the mobility of organisations and people. The emer...

  9. THE IMPACT OF NEW INFORMATION AND COMMUNICATION TECHNOLOGIES IN PUBLIC INSTITUTIONS ACCOUNTING

    OpenAIRE

    Valentin Ioan UŞURELU; Alina Elena (Andrei) DANAILĂ; Gabriela (Andreescu) MIHAI; Cristian Ionel VĂTĂŞOIU

    2010-01-01

    The studied field has suffered continuous transformation, both in interaction with other scientific fields and in constituent sub-classes, for discovering and understanding more deeply the contemporary economic realities under the impact of major trends of world development. This paper aims to analyze the location and the effects of information and communication technologies within the public accounting in order to evaluate the effects of this element on accounti...

  10. Genetic Epidemiology and Public Health: The Evolution From Theory to Technology.

    Science.gov (United States)

    Fallin, M Daniele; Duggal, Priya; Beaty, Terri H

    2016-03-01

    Genetic epidemiology represents a hybrid of epidemiologic designs and statistical models that explicitly consider both genetic and environmental risk factors for disease. It is a relatively new field in public health; the term was first coined only 35 years ago. In this short time, the field has been through a major evolution, changing from a field driven by theory, without the technology for genetic measurement or computational capacity to apply much of the designs and methods developed, to a field driven by rapidly expanding technology in genomic measurement and computational analyses while epidemiologic theory struggles to keep up. In this commentary, we describe 4 different eras of genetic epidemiology, spanning this evolution from theory to technology, what we have learned, what we have added to the broader field of public health, and what remains to be done. © The Author 2016. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  11. PUBLIC AND PATIENT INVOLVEMENT IN HEALTH TECHNOLOGY ASSESSMENT: A FRAMEWORK FOR ACTION.

    Science.gov (United States)

    Abelson, Julia; Wagner, Frank; DeJean, Deirdre; Boesveld, Sarah; Gauvin, Franςois-Pierre; Bean, Sally; Axler, Renata; Petersen, Stephen; Baidoobonso, Shamara; Pron, Gaylene; Giacomini, Mita; Lavis, John

    2016-01-01

    As health technology assessment (HTA) organizations in Canada and around the world seek to involve the public and patients in their activities, frameworks to guide decisions about whom to involve, through which mechanisms, and at what stages of the HTA process have been lacking. The aim of this study was to describe the development and outputs of a comprehensive framework for involving the public and patients in a government agency's HTA process. The framework was informed by a synthesis of international practice and published literature, a dialogue with local, national and international stakeholders, and the deliberations of a government agency's public engagement subcommittee in Ontario, Canada. The practice and literature synthesis failed to identify a single, optimal approach to involving the public and patients in HTA. Choice of methods should be considered in the context of each HTA stage, goals for incorporating societal and/or patient perspectives into the process, and relevant societal and/or patient values at stake. The resulting framework is structured around four actionable elements: (i) guiding principles and goals for public and patient involvement (PPI) in HTA, (ii) the establishment of a common language to support PPI efforts, (iii) a flexible array of PPI approaches, and (iv) on-going evaluation of PPI to inform adjustments over time. A public and patient involvement framework has been developed for implementation in a government agency's HTA process. Core elements of this framework may apply to other organizations responsible for HTA and health system quality improvement.

  12. Exploring the Effect of Case Formulation Driven CBT for Children with Anxiety Disorders

    DEFF Research Database (Denmark)

    Esbjørn, Barbara Hoff; Reinholdt-Dunne, Marie Louise; Nielsen, Sara K

    2015-01-01

    Background: Little is known about the effect of case-formulation based cognitive behaviour therapy (CBT) for anxious children. Aim: The present study explores the feasibility of case-formulation driven CBT for anxious children. Parents were involved in treatment as either co-facilitators (involve...... approach to CBT may be a feasible option when selecting treatment for anxious children; however, further studies must be conducted before firm conclusions can be drawn.......Background: Little is known about the effect of case-formulation based cognitive behaviour therapy (CBT) for anxious children. Aim: The present study explores the feasibility of case-formulation driven CBT for anxious children. Parents were involved in treatment as either co-facilitators (involved...... only as the child's assistants, treatment being primarily directed at the child), or as co-clients (parents received therapy targeting theoretically established maintaining mechanisms; children received half of the sessions, parents the other half). Method: Feasibility of the case-formulation driven...

  13. Public perception of the activities of the Nuclear Energy and Advanced Technologies Agency of Cuba

    International Nuclear Information System (INIS)

    Contreras, Marta; Arencibia, Alois; Alvarado, Jorge; Garcia, Dulce; Rodriguez, Ingrids; Hernandez, Noslen; Aguilar, Aurora; Perera, Maricela; Rodriguez, Ramon; Alonso, Ivonne; Quintana, Natacha; Cardenas, Juan; Ramos, Odalys; Elias, Lidia Lauren

    2013-01-01

    The work presents the results of a study of perception of the nuclear activities of the Nuclear Energy and Advanced Technologies Agency of Cuba, carried out by means of a study of image. The public object was a wide group of clients, providers, journalists and experts of the governing and regulatory organs which constitute its external public. For the investigation a methodology was prepared with a questionnaire and a semi structured interview, which allowed to obtain complementary information of qualitative character. In general, the perception of the Agency turned out to be positive and the human resources were the best evaluated aspect. Nevertheless, the visibility of the Agency in the public day pupils is considered to be insufficient. The study provided the necessary information so as to design the strategy of communication of the Agency. (author)

  14. Public perception of the activities of the Nuclear Energy and Advanced Technologies Agency of Cuba

    Energy Technology Data Exchange (ETDEWEB)

    Contreras, Marta; Arencibia, Alois; Alvarado, Jorge; Garcia, Dulce; Rodriguez, Ingrids; Hernandez, Noslen [Centro de Gestion de la Informacion y Desarrollo de la Energia (CUBAENERGIA), La Habana (Cuba); Aguilar, Aurora; Perera, Maricela [Centro de Investigaciones Psicologicas y Sociologicas (CIPS), La Habana, (Cuba); Rodriguez, Ramon [Agencia de Energia Nuclear y Tecnologias de Avanzada (AENTA), La Habana, (Cuba); Alonso, Ivonne [Centro Nacional de Seguridad Nuclear (CNSN), La Habana, (Cuba); Quintana, Natacha [Centro de Aplicaciones Tecnologicas y Desarrollo Nuclear (CEADEN), La Habana, (Cuba); Cardenas, Juan; Ramos, Odalys [Centro de Proteccion e Higiene de las Radiaciones (CPHR), La Habana, (Cuba); Elias, Lidia Lauren [Instituto Superior de Tecnologias y Ciencias Aplicadas (InSTEC), La Habana, (Cuba)

    2013-07-01

    The work presents the results of a study of perception of the nuclear activities of the Nuclear Energy and Advanced Technologies Agency of Cuba, carried out by means of a study of image. The public object was a wide group of clients, providers, journalists and experts of the governing and regulatory organs which constitute its external public. For the investigation a methodology was prepared with a questionnaire and a semi structured interview, which allowed to obtain complementary information of qualitative character. In general, the perception of the Agency turned out to be positive and the human resources were the best evaluated aspect. Nevertheless, the visibility of the Agency in the public day pupils is considered to be insufficient. The study provided the necessary information so as to design the strategy of communication of the Agency. (author)

  15. CDC-reported assisted reproductive technology live-birth rates may mislead the public.

    Science.gov (United States)

    Kushnir, Vitaly A; Choi, Jennifer; Darmon, Sarah K; Albertini, David F; Barad, David H; Gleicher, Norbert

    2017-08-01

    The Centre for Disease Control and Prevention (CDC) publicly reports assisted reproductive technology live-birth rates (LBR) for each US fertility clinic under legal mandate. The 2014 CDC report excluded 35,406 of 184,527 (19.2%) autologous assisted reproductive technology cycles that involved embryo or oocyte banking from LBR calculations. This study calculated 2014 total clinic LBR for all patients utilizing autologous oocytes two ways: including all initiated assisted reproductive technology cycles or excluding banking cycles, as done by the CDC. The main limitation of this analysis is the CDC report did not differentiate between cycles involving long-term banking of embryos or oocytes for fertility preservation from cycles involving short-term embryo banking. Twenty-seven of 458 (6%) clinics reported over 40% of autologous cycles involved banking, collectively performing 12% of all US assisted reproductive technology cycles. LBR in these outlier clinics calculated by the CDC method, was higher than the other 94% of clinics (33.1% versus 31.1%). However, recalculated LBR including banking cycles in the outlier clinics was lower than the other 94% of clinics (15.5% versus 26.6%). LBR calculated by the two methods increasingly diverged based on proportion of banking cycles performed by each clinic reaching 4.5-fold, thereby, potentially misleading the public. Copyright © 2017 Reproductive Healthcare Ltd. Published by Elsevier Ltd. All rights reserved.

  16. The Ethics of Virtual Reality Technology: Social Hazards and Public Policy Recommendations.

    Science.gov (United States)

    Spiegel, James S

    2017-09-23

    This article explores four major areas of moral concern regarding virtual reality (VR) technologies. First, VR poses potential mental health risks, including Depersonalization/Derealization Disorder. Second, VR technology raises serious concerns related to personal neglect of users' own actual bodies and real physical environments. Third, VR technologies may be used to record personal data which could be deployed in ways that threaten personal privacy and present a danger related to manipulation of users' beliefs, emotions, and behaviors. Finally, there are other moral and social risks associated with the way VR blurs the distinction between the real and illusory. These concerns regarding VR naturally raise questions about public policy. The article makes several recommendations for legal regulations of VR that together address each of the above concerns. It is argued that these regulations would not seriously threaten personal liberty but rather would protect and enhance the autonomy of VR consumers.

  17. Public demonstration projects and field trials: Accelerating commercialisation of sustainable technology in solar photovoltaics

    International Nuclear Information System (INIS)

    Brown, James; Hendry, Chris

    2009-01-01

    The paper considers the role of government funded demonstration projects and field trials (DTs) in accelerating the commercialisation of new energy technologies that meet a public good but do not have immediate market appeal [Sagar, A.D., van der Zwaan, B., 2006. Technological innovation in the energy sector: R and D, deployment, and learning-by-doing. Energy Policy 34, 2601-2608]. Drawing on an original database of DTs in the EU, Japan and USA from 1973 to 2004, we review the history of DTs in photovoltaic technology for electricity generation, and its subsequent take up as a commercial energy source. We find that DTs that are aimed purely at discovering suitable market opportunities are less successful in achieving diffusion than projects that target a particular application and concentrate resources on it. The former nevertheless have a vital role to play in the learning process, while a targeted focus is often dependent on national industrial and institutional factors.

  18. PhD by Publication as an Argument for Innovation and Technology Transfer: With Emphasis on Africa

    Science.gov (United States)

    Asongu, Simplice A.; Nwachukwu, Jacinta C.

    2018-01-01

    The contribution of African researchers to knowledge by means of scientific publications is low compared to other regions of the world. This paper presents an argument in favour of PhD by publication as a tool for innovation and technology transfer. The conception of PhD by publication used in this study is more suited for doctorates in science…

  19. DOE contractor radiation safety CBT [computer based training] course

    International Nuclear Information System (INIS)

    Gardner, P.R.

    1986-01-01

    Westinghouse Hanford Company developed a generic Radiation Worker safety CBT course for Department of Energy contractors. Task analysis concentrated on actual and potential tasks and included visits to fourteen different contractor sites. Team Design and Prototype verification formed the major portion of the development phase. Lesson entry was accomplished using the WISE author system from WICAT Systems, Inc. The course features graded task simulations for both Pretest and Final; fourteen Topics in five Lessons, each Topic keyed to ''Critical Acts'' and Questions in the Pretest and Final; Automatic, Intensive, and Manual modes of instruction available for each Lesson; Practical Problems and Sample Questions associated with each Topic; and provisions for local configuration in several areas. The course is deliverable on IBM PC compatible equipment. 2 refs

  20. Randomized controlled study of CBT in bronchial asthma

    Directory of Open Access Journals (Sweden)

    Grover Naveen

    2007-01-01

    Full Text Available The aim of the present study was to find out efficacy of cognitive behavior therapy, as an adjunct to standard pharmacotherapy, in bronchial asthma. In a random-ized two-group design with pre-and post assessments, forty asthma patients were randomly allotted to two groups: self management group and cognitive behavior therapy group. Both groups were exposed to 6-8 weeks of intervention, asthma self management program and cognitive behavior therapy. Assessment measures used were-Semi structured interview schedule, Asthma Symptom Checklist, Asthma di-ary, Asthma Bother Profile, Hospital Anxiety & Depression Scale, AQLQ and Peak Expiratory Flow Rate. Within group comparison showed significant improvement in both groups at the post assessment. Between group comparisons showed that CBT group reported significantly greater change than that of SM group. Cognitive behavior therapy helps in improving the managment of asthma.

  1. Virtual Reality Cognitive Behavior Therapy for Public Speaking Anxiety: A Randomized Clinical Trial

    Science.gov (United States)

    Wallach, Helene S.; Safir, Marilyn P.; Bar-Zvi, Margalit

    2009-01-01

    Public speaking anxiety (PSA) is a common phobia. Although cognitive behavior therapy (CBT) is preferred, difficulties arise with the exposure component (lack of therapist control, patient's inability to imagine, self-flooding, loss of confidentiality resulting from public exposure). Virtual reality CBT (VRCBT) enables a high degree of therapist…

  2. Eliciting Public Attitudes Regarding Bioremediation Cleanup Technologies: Lessons Learned from a Consensus Workshop in Idaho

    Energy Technology Data Exchange (ETDEWEB)

    Denise Lach, Principle Investigator; Stephanie Sanford, Co-P.I.

    2003-03-01

    During the summer of 2002, we developed and implemented a ''consensus workshop'' with Idaho citizens to elicit their concerns and issues regarding the use of bioremediation as a cleanup technology for radioactive nuclides and heavy metals at Department of Energy (DOE) sites. The consensus workshop is a derivation of a technology assessment method designed to ensure dialogue between experts and lay people. It has its origins in the United States in the form of ''consensus development conferences'' used by the National Institutes of Health (NIH) to elicit professional knowledge and concerns about new medical treatments. Over the last 25 years, NIH has conducted over 100 consensus development conferences. (Jorgensen 1995). The consensus conference is grounded in the idea that technology assessment and policy needs to be socially negotiated among many different stakeholders and groups rather than narrowly defined by a group of experts. To successfully implement new technology, the public requires access to information that addresses a full complement of issues including understanding the organization proposing the technology. The consensus conference method creates an informed dialogue, making technology understandable to the general public and sets it within perspectives and priorities that may differ radically from those of the expert community. While specific outcomes differ depending on the overall context of a conference, one expected outcome is that citizen panel members develop greater knowledge of the technology during the conference process and, sometimes, the entire panel experiences a change in attitude toward the technology and/or the organization proposing its use (Kluver 1995). The purpose of this research project was to explore the efficacy of the consensus conference model as a way to elicit the input of the general public about bioremediation of radionuclides and heavy metals at Department of Energy sites

  3. A Panel Analysis of the Strategic Association Between Information and Communication Technology and Public Health Delivery

    Science.gov (United States)

    Wu, Sarah Jinhui

    2012-01-01

    Background In this exploratory research, we use panel data analysis to examine the correlation between Information and Communication Technology (ICTs) and public health delivery at the country level. Objective The goal of this exploratory research is to examine the strategic association over time between ICTs and country-level public health. Methods Using data from the World Development Indicators, we construct a panel data set of countries of five different income levels and look closely at the period from 2000 to 2008. The panel data analysis allows us to explore this dynamic relationship under the control for unobserved country-specific effects by using a fixed-effects estimation method. In particular,, we examine the association of five ICT factors with five public health indicators: adolescent fertility rate, child immunization coverage, tuberculosis case detected, life expectancy, and adult mortality rate. Results First, overall ICTs’ factors substantially improve a country’s public health delivery on the top of wealth effect. Second, among all the ICTs’ factors, accessibility is the only one that is associated with improvements in all aspects of public health delivery, while the contributions from the usage, quality, and applications are negligible. ICTs’ accessibility factor is associated with a considerable extension to life expectancy and reduced adult mortality rate. Third, all entity-specific factors are significant in each model, indicating that countries’ economic development level does influence their public health delivery. Conclusions Our results indicate that ICT accessibility has a strong association with effective delivery of public health. There are others, but the key strategic applications are eHealth and mHealth. The findings of this study will help government officials and public health policy makers to formulate strategic decisions regarding the best ICT investments and deployment. For example, the study shows that providing

  4. A panel analysis of the strategic association between information and communication technology and public health delivery.

    Science.gov (United States)

    Wu, Sarah Jinhui; Raghupathi, Wullianallur

    2012-10-22

    In this exploratory research, we use panel data analysis to examine the correlation between Information and Communication Technology (ICTs) and public health delivery at the country level. The goal of this exploratory research is to examine the strategic association over time between ICTs and country-level public health. Using data from the World Development Indicators, we construct a panel data set of countries of five different income levels and look closely at the period from 2000 to 2008. The panel data analysis allows us to explore this dynamic relationship under the control for unobserved country-specific effects by using a fixed-effects estimation method. In particular,, we examine the association of five ICT factors with five public health indicators: adolescent fertility rate, child immunization coverage, tuberculosis case detected, life expectancy, and adult mortality rate. First, overall ICTs' factors substantially improve a country's public health delivery on the top of wealth effect. Second, among all the ICTs' factors, accessibility is the only one that is associated with improvements in all aspects of public health delivery, while the contributions from the usage, quality, and applications are negligible. ICTs' accessibility factor is associated with a considerable extension to life expectancy and reduced adult mortality rate. Third, all entity-specific factors are significant in each model, indicating that countries' economic development level does influence their public health delivery. Our results indicate that ICT accessibility has a strong association with effective delivery of public health. There are others, but the key strategic applications are eHealth and mHealth. The findings of this study will help government officials and public health policy makers to formulate strategic decisions regarding the best ICT investments and deployment. For example, the study shows that providing accessibility should be a critical focus.

  5. Factors influencing the public intention to use renewable energy technologies in South Korea: Effects of the Fukushima nuclear accident

    International Nuclear Information System (INIS)

    Park, Eunil; Ohm, Jay Y.

    2014-01-01

    The Fukushima accident has influenced public attitudes toward energy sources and technologies, including not only nuclear energy, but also other energy sources. Therefore, it is worth investigating how the accident influenced public perceptions of renewable energy and its technologies, between the time before the accident and after the accident. This study aims to explore the effects of the Fukushima accident on the public perceptions of renewable energy technologies in South Korea, the closest nation to Japan. This study found that there were notable differences of public perceptions, including public attitudes, perceived benefits, trust, intention to use, knowledge and risks between before and after the earthquake. In addition, the perceived cost of renewable energy technologies was the primary determinant of the intention to use the technologies before the accident, whereas public attitudes toward the technologies became the main antecedents of the intention after the accident. After the accident, we found that there is a multi-dimensional matrix of perceived trust-benefits (with risks)-attitude-intention to use, in explaining the public acceptance of renewable energy technologies. Moreover, we found significant roles of the perceived trust, benefits and risks in the research model. Based on the empirical findings, both implications and suggestions are presented. - highlights: • The factors influence public intention to employ renewable energy technologies. • Fukushima accident made significant differences of public perceptions. • Perceived benefits and risks are employed as key determinants of public attitude. • Perceived cost and attitude are found as antecedents of the intention to use. • Perceived trust is a notable motivation of public perceptions

  6. PUBLICATION OF SCIENTIFIC PERIODICALS AT UNIVERSITIES:NEW CHALLENGES, PARTICIPANTS TECHNOLOGY

    Directory of Open Access Journals (Sweden)

    T. О. Kolesnykova

    2015-11-01

    Full Text Available Purpose. Publication of scientific periodicals in the Universities is very important and necessary element in the infrastructure of scientific communication. The aim of the article is: 1 providing a new model of publication system of the University scientific periodicals (on the example of Dnipropetrovsk National University of Railway Transport named after Academician V. Lazaryan – DNURT; 2 studying the peculiarities of the «Library publishing» model (Library Publishing and library as a new participant in the publication of world scientific periodicals of the University; 3 description of the developed software automation typesetting of scientific articles and their integration into international databases of scientific and technical information. Methodology. The scientists investigated: 1 the system of publication of scientific periodicals at DNURT; 2 integration system of electronic versions of periodicals and individual articles of scientists from DNURT into the world scientific databases; 3 publishing activity of the scientific and technical library of the University. Findings. The authors proved the need for the fast updates in each higher education institution of Ukrainian management system of scientific periodicals and the creation of the periodicals development concept. The conditions for the occurrence of positive changes in the publishing process in Universities were determined and named as a new participant in these processes – University library. The list of new tasks inherent in the scientific periodicals of the Universities was presented. The software product «Digital designer» was created as a new applied information technology solution to extend the functionality of the basic system information of the publication according to its editorial policy. Originality. The scientists studied the transformation process of the organizational structure of scientific periodicals publishing in the Universities of Ukraine and the world

  7. The effectiveness of internet cognitive behavioural therapy (iCBT) for social anxiety disorder in routine practice

    NARCIS (Netherlands)

    Williams, A.D.; O'Moore, Kathleen; Mason, Elizabeth; Andrews, Gavin

    2014-01-01

    Social anxiety disorder (SAD) is a common, chronic and disabling mental disorder. Cognitive Behaviour Therapy (CBT) is a highly effective treatment of SAD and internet CBT (iCBT) offers a cost-effective and convenient alternative to face to face approaches, with high fidelity and demonstrated

  8. Treating Anxiety Disorders in Inner City Schools: Results from a Pilot Randomized Controlled Trial Comparing CBT and Usual Care

    Science.gov (United States)

    Ginsburg, Golda S.; Becker, Kimberly D.; Drazdowski, Tess K.; Tein, Jenn-Yun

    2012-01-01

    Background: The effectiveness of cognitive-behavioral treatment (CBT) in inner city schools, when delivered by novice CBT clinicians, and compared to usual care (UC), is unknown. Objective: This pilot study addressed this issue by comparing a modular CBT for anxiety disorders to UC in a sample of 32 volunteer youth (mean age 10.28 years, 63%…

  9. Anticancer patent landscape and technology assessment of Indian public-funded research institutes and organizations.

    Science.gov (United States)

    Dara, Ajay; Sangamwar, Abhay T

    2014-08-01

    This review discusses the various drug therapeutic targets and latest technologies of anticancer patents from 10 Indian public-funded research organizations covering more than 150 esteemed institutes. We have identified and reported the leading assignee and inventors along with their collaboration network and, thereby, have analyzed the various patent trends, geographical distributions, citation maps, Derwent World Patents Index, international patent classification analysis and the like. This article provides the insights of 1905 patent documents from 191 families and discusses in-depth anticancer technology through categorization studies at the level of drug discovery, drug development and treatment and diagnosis. In addition, various cancer targets were correlated with recent technologies so as to identify the white spaces for upcoming technologies. Over a period of 13 years (1990 - 2013) the main focus of Indian cancer research was in the field of synthetic chemistry and natural extracts followed by the pharmaceutical compositions and combinations, whereas, the white spaces for future cancer remedy were identified from research in the areas of cancer stem cell lines, vaccines, gene therapy, nano formulations with targeted drug delivery systems as core and latest technologies.

  10. Information technology systems in public sector health facilities in developing countries: the case of South Africa

    Directory of Open Access Journals (Sweden)

    Cline Gregory B

    2013-01-01

    Full Text Available Abstract Background The public healthcare sector in developing countries faces many challenges including weak healthcare systems and under-resourced facilities that deliver poor outcomes relative to total healthcare expenditure. Global references demonstrate that information technology has the ability to assist in this regard through the automation of processes, thus reducing the inefficiencies of manually driven processes and lowering transaction costs. This study examines the impact of hospital information systems implementation on service delivery, user adoption and organisational culture within two hospital settings in South Africa. Methods Ninety-four interviews with doctors, nurses and hospital administrators were conducted in two public sector tertiary healthcare facilities (in two provinces to record end-user perceptions. Structured questionnaires were used to conduct the interviews with both qualitative and quantitative information. Results Noteworthy differences were observed among the three sample groups of doctors, nurses and administrators as well as between our two hospital groups. The impact of automation in terms of cost and strategic value in public sector hospitals is shown to have yielded positive outcomes with regard to patient experience, hospital staff workflow enhancements, and overall morale in the workplace. Conclusion The research provides insight into the reasons for investing in system automation, the associated outcomes, and organisational factors that impact the successful adoption of IT systems. In addition, it finds that sustainable success in these initiatives is as much a function of the technology as it is of the change management function that must accompany the system implementation.

  11. Risk and society: The interaction of science, technology and public policy

    International Nuclear Information System (INIS)

    Waterstone, M.

    1992-01-01

    Risk and Society is the sixth volume in Kluwer's Technology, Risk, and Society series, and like the previous volumes in this series, it is made up of papers presented at a symposium convened in 1989 to discuss the changing interactions of technology and society and definitions of risk. The papers presented all center around risk as a constructed phenomenon. The first paper is a general overview of concepts of risk in society and the changing emphasis on risk in the last two decades. The papers represent four main topic areas: Risk, science and public policy; Allocating scarce medical resources; Nuclear power and nuclear waste disposal; and Setting standards for air quality. Three papers, representing three different points of view, are presented in each topic area. The contributors cover a range of issues in this format, and the combined effect is a good overview of the issues with which risk assessors, risk managers, and public policymakers must grapple if constructive use is to be made of risk in public decision-making

  12. The Necessity of Mobile Phone Technologies for Public Health Surveillance in Benin

    Directory of Open Access Journals (Sweden)

    Yaovi M. G. Hounmanou

    2016-01-01

    Full Text Available A cross-sectional study was conducted in March 2016 to assess the need of mobile phone technologies for health surveillance and interventions in Benin. Questionnaires were administered to 130 individuals comprising 25 medical professionals, 33 veterinarians, and 72 respondents from the public. All respondents possess cell phones and 75%, 84%, and 100% of the public, medical professionals, and veterinarians, respectively, generally use them for medical purposes. 75% of respondents including 68% of medics, 84.8% of veterinarians, and 72.2% of the public acknowledged that the current surveillance systems are ineffective and do not capture and share real-time information. More than 92% of the all respondents confirmed that mobile phones have the potential to improve health surveillance in the country. All respondents reported adhering to a nascent project of mobile phone-based health surveillance and confirmed that there is no existing similar approach in the country. The most preferred methods by all respondents for effective implementation of such platform are phone calls (96.92% followed by SMS (49.23% and smart phone digital forms (41.53%. This study revealed urgent needs of mobile phone technologies for health surveillance and interventions in Benin for real-time surveillance and efficient disease prevention.

  13. Online public health preparedness training programs: an evaluation of user experience with the technological environment.

    Science.gov (United States)

    Nambisan, Priya

    2010-01-01

    Several public health education programs and government agencies across the country have started offering virtual or online training programs in emergency preparedness for people who are likely to be involved in managing or responding to different types of emergency situations such as natural disasters, epidemics, bioterrorism, etc. While such online training programs are more convenient and cost-effective than traditional classroom-based programs, their success depends to a great extent on the underlying technological environment. Specifically, in an online technological environment, different types of user experiences come in to play-users' utilitarian or pragmatic experience, their fun or hedonic experience, their social experience, and most importantly, their usability experience-and these different user experiences critically shape the program outcomes, including course completion rates. This study adopts a multi-disciplinary approach and draws on theories in human computer interaction, distance learning theories, usability research, and online consumer behavior to evaluate users' experience with the technological environment of an online emergency preparedness training program and discusses its implications for the design of effective online training programs. . Data was collected using a questionnaire from 377 subjects who had registered for and participated in online public health preparedness training courses offered by a large public university in the Northeast. Analysis of the data indicates that as predicted, participants had higher levels of pragmatic and usability experiences compared to their hedonic and sociability experiences. Results also indicate that people who experienced higher levels of pragmatic, hedonic, sociability and usability experiences were more likely to complete the course(s) they registered for compared to those who reported lower levels. The study findings hold important implications for the design of effective online emergency

  14. A randomised controlled trial of recovery focused CBT for individuals with early bipolar disorder

    Directory of Open Access Journals (Sweden)

    Jones Steven

    2012-11-01

    Full Text Available Abstract Background There is increasing evidence for the effectiveness of structured psychological therapies for bipolar disorder. To date however there have been no psychological interventions specifically designed for individuals with early bipolar disorder. The primary objective of this trial is to establish the acceptability and feasibility of a new CBT based intervention (Recovery focused CBT; RfCBT designed in collaboration with individuals with early bipolar disorder intended to improve clinical and personal recovery outcomes. Methods and design This article describes a single blind randomised controlled trial to assess the feasibility and acceptability of RfCBT compared with treatment as usual. Participants will be recruited from across the North West of England from specialist mental health services and through primary care and self referral. The primary outcome of the study is the feasibility and acceptability of RfCBT as indicated by recruitment to target and retention to follow-up as well as absence of untoward incidents associated with RfCBT. We also intend to estimate the effect size of the impact of the intervention on recovery and mood outcomes and explore potential process measures (self appraisal, stigma, hope and self esteem. Discussion This is the first trial of recovery informed CBT for early bipolar disorder and will therefore be of interest to researchers in this area as well as indicating the wider potential for evaluating approaches to the recovery informed treatment of recent onset severe mental illness in general. Trial registration number ISRCTN43062149

  15. Cognitive Behavioural Therapy for Insomnia (CBT-I) to treat depression: A systematic review.

    Science.gov (United States)

    Cunningham, Jasmyn E A; Shapiro, Colin M

    2018-03-01

    Major depressive disorder is one of the most commonly diagnosed psychiatric illnesses, and it has a profound negative impact on an individual's ability to function. Up to 90% of individuals suffering from depression also report sleep and circadian disruptions. If these disruptions are not effectively resolved over the course of treatment, the likelihood of relapse into depression is greatly increased. Cognitive Behavioural Therapy for Insomnia (CBT-I) has shown promise in treating these sleep and circadian disturbances associated with depression, and may be effective as a stand-alone treatment for depression. This may be particularly relevant in cases where antidepressant medications are not ideal (e.g. due to contraindications, cost, or treatment resistance). A systematic literature review was conducted of trials investigating the use of CBT-I to treat depression in adults. Therapy included in-person CBT-I, as well as telehealth and group CBT-I. CBT-I presents a promising treatment for depression comorbid with insomnia. In-person therapy has the most supporting evidence for its efficacy, though treatment effects may not be additive with those of antidepressant medications. Insomnia improvement due to CBT-I may mediate the improvement in depressive symptoms. There is less evidence for the use of telehealth, though a stepped-care approach is indicated based on baseline depressive severity. More research on group therapy and telehealth modalities of delivering CBT-I are required before making recommendations. Copyright © 2018 Elsevier Inc. All rights reserved.

  16. Using cognitive behaviour therapy with South Asian Muslims: Findings from the culturally sensitive CBT project.

    Science.gov (United States)

    Naeem, Farooq; Phiri, Peter; Munshi, Tariq; Rathod, Shanaya; Ayub, Muhhhamad; Gobbi, Mary; Kingdon, David

    2015-01-01

    It has been suggested that cognitive behaviour therapy (CBT) needs adaptation for it to be effective for patients from collectivistic cultures, as currently CBT is underpinned by individualistic values. In prior studies we have demonstrated that CBT could be adapted for Pakistani patients in Southampton, UK, and for local populations in Pakistan. Findings from these studies suggest that CBT can be adapted for patients from collectivistic cultures using a series of steps. In this paper we focus on these steps, and the process of adapting CBT for specific groups. The adaptation process should focus on three major areas of therapy, rather than simple translation of therapy manuals. These include (1) awareness of relevant cultural issues and preparation for therapy, (2) assessment and engagement, and (3) adjustments in therapy. We also discuss the best practice guidelines that evolved from this work to help therapists working with this population. We reiterate that CBT can be adapted effectively for patients from traditional cultures. This is, however, an emerging area in psychotherapy, and further work is required to refine the methodology and to test adapted CBT.

  17. Publics in the making: mediating different methods of engagement and the publics these construct : commentary on: "Technologies of democracy: experiments and demonstrations".

    Science.gov (United States)

    Mohr, Alison

    2011-12-01

    The potential for public engagement to democratise science has come under increasing scrutiny amid concerns that conflicting motivations have led to confusion about what engagement means to those who mediate science and publics. This raises important yet relatively unexplored questions regarding how publics are constituted by different forms of engagement used by intermediary scholars and other actors. It is possible to identify at least two possible 'rationalities of mediation' that mobilise different versions of the public and the roles they are assumed to play, as 'citizens' or 'users', in discussions around technology. However, combinations of rationalities are found in practice and these have significant implications for the 'new' scientific democracy.

  18. CBT for Pediatric Migraine: A Qualitative Study of Patient and Parent Experience.

    Science.gov (United States)

    Kroon Van Diest, Ashley M; Ernst, Michelle M; Vaughn, Lisa; Slater, Shalonda; Powers, Scott W

    2018-03-08

    The goal of this study was to determine which cognitive behavioral therapy (CBT-HA) treatment components pediatric headache patient stakeholders would report to be most helpful and essential to reducing headache frequency and related disability to develop a streamlined, less burdensome treatment package that would be more accessible to patients and families. Pediatric migraine is a prevalent and disabling condition. CBT-HA has been shown to reduce headache frequency and related disability, but may not be readily available or accepted by many migraine sufferers due to treatment burden entailed. Research is needed to determine systematic ways of reducing barriers to CBT-HA. Qualitative interviews were conducted with 10 patients and 9 of their parents who had undergone CBT-HA. Interviews were analyzed using an inductive thematic analysis approach based upon modified grounded theory. Patients were 13-17.5 years of age (M = 15.4, SD = 1.63) and had undergone CBT-HA ∼1-2 years prior to participating in the study. Overall, patients and their parents reported that CBT-HA was helpful in reducing headache frequency and related disability. Although patients provided mixed reports on the effectiveness of different CBT-HA skills, the majority of patients indicated that the mind and body relaxation skills of CBT-HA (deep breathing, progressive muscle relaxation, and activity pacing in particular) were the most helpful and most frequently used skills. Patients and parents also generally reported that treatment was easy to learn, and noted at least some aspect of treatment was enjoyable. Results from these qualitative interviews indicate that mind and body CBT-HA relaxation skills emerged as popular and effective based on patient and parent report. Future research examining the effectiveness of streamlined pediatric migraine nonpharmacological interventions should include these patient-preferred skills. © 2018 American Headache Society.

  19. A Pilot Test of the Additive Benefits of Physical Exercise to CBT for OCD.

    Science.gov (United States)

    Rector, Neil A; Richter, Margaret A; Lerman, Bethany; Regev, Rotem

    2015-01-01

    The majority of "responders" to first-line cognitive-behavioural therapy (CBT) and pharmacological treatments for obsessive-compulsive disorder (OCD) are left with residual symptoms that are clinically relevant and disabling. Therefore, there is pressing need for widely accessible efficacious alternative and/or adjunctive treatments for OCD. Accumulating evidence suggests that physical exercise may be one such intervention in the mood and anxiety disorders broadly, although we are aware of only two positive small-scale pilot studies that have tested its clinical benefits in OCD. This pilot study aimed to test the feasibility and preliminary efficacy of adding a structured physical exercise programme to CBT for OCD. A standard CBT group was delivered concurrently with a 12-week customized exercise programme to 11 participants. The exercise regimen was individualized for each participant based on peak heart rate measured using an incremental maximal exercise test. Reports of exercise adherence across the 12-week regimen exceeded 80%. A paired-samples t-test indicated very large treatment effects in Yale-Brown Obsessive-Compulsive Scale scores from pre- to post-treatment in CBT group cohorts led by expert CBT OCD specialists (d = 2.55) and junior CBT clinician non-OCD specialists (d = 2.12). These treatment effects are very large and exceed effects typically observed with individual and group-based CBT for OCD based on leading meta-analytic reviews, as well as previously obtained treatment effects for CBT using the same recruitment protocol without exercise. As such, this pilot work demonstrates the feasibility and significant potential clinical utility of a 12-week aerobic exercise programme delivered in conjunction with CBT for OCD.

  20. EVALUATION OF PATIENT AND PUBLIC INVOLVEMENT INITIATIVES IN HEALTH TECHNOLOGY ASSESSMENT: A SURVEY OF INTERNATIONAL AGENCIES.

    Science.gov (United States)

    Weeks, Laura; Polisena, Julie; Scott, Anna Mae; Holtorf, Anke-Peggy; Staniszewska, Sophie; Facey, Karen

    2017-01-01

    Although there is increased awareness of patient and public involvement (PPI) among health technology assessment (HTA) organizations, evaluations of PPI initiatives are relatively scarce. Our objective as members of Health Technology Assessment International's (HTAi's) Patient and Citizen Involvement Group (PCIG) was to advance understanding of the range of evaluation strategies adopted by HTA organizations and their potential usefulness. In March 2016, a survey was sent to fifty-four HTA organizations through the International Network of Agencies for Health Technology Assessment (INAHTA) and contacts of members of HTAi's PCIG. Respondents were asked about their organizational structure; how patients and members of the public are involved; whether and how PPI initiatives have been evaluated, and, if so, which facilitators and challenges to evaluation were found and how results were used and disseminated. Fifteen (n = 15) programs from twelve countries responded (response rate 27.8 percent) that involved patients (14/15) and members of the public (10/15) in HTA activities. Seven programs evaluated their PPI activities, including participant satisfaction (5/7), process (5/7) and impact evaluations (4/7). Evaluation results were used to improve PPI activities, identify education and training needs, and direct strategic priorities. Facilitators and challenges revolved around the need for stakeholder buy-in, sufficient resources, senior leadership, and including patients in evaluations. A small but diverse set of HTA organizations evaluate their PPI activities using a range of strategies that reflect the range of rationales and approaches to PPI in HTA. It will be important for HTA organizations to draw on evaluation theories and methods.

  1. [School of Public Health of Mexico: educational and technological innovation in the new millennium].

    Science.gov (United States)

    Magaña-Valladares, Laura; Suárez-Conejero, Juana Elvira; Hernández-Ávila, Mauricio; Gudiño-Cejudo, María Rosa

    2014-01-01

    This article was conceived to analyze the work of the School of Public Health of Mexico (ESPM for is acronym in Spanish) from the year 2000 to the present day. One of the highlights that we will examine is the reorientation of the educational work of the school in order to meet the challenges in health and education that emerged during the end of the twentieth century. In order to explain the evolution of this process, we will describe the three main guiding principles that characterize the present work of the school: the pedagogical model's change, the incorporation of the information and communication technologies, and the professionalization in teaching. The purpose of this work is to define those guiding principles, and to expose, through the contrast between past and present, the complete history of uninterrupted work of the School of Public Health of Mexico during its ninety-two years of existence, that has gone beyond the boundaries of the country.

  2. Best practice in communications training for public engagement with science, technology, engineering and mathematics

    Directory of Open Access Journals (Sweden)

    Karen Bultitude

    2009-05-01

    Full Text Available Effective training in key communications skills is critical for successful public engagement. However, what are the secrets to designing and delivering an effectual training course? This paper outlines key findings from a research study into communication training programmes for public engagement with STEM (science, technology, engineering and mathematics. The research focused on training in direct communication methods, (as separate from media training and encompassed both trainers and trainees, the latter group spanning across both scientists and explainers. The findings indicated that training courses are effective at increasing involvement in science communication events and trainees feel more confident and able to engage due to training. An interactive style was found to be a key element of training courses. Demonstrations of good practice followed by own performance with feedback were also important, preferably involving a ‘real’ audience. A list of guidelines on best practice has been developed which offers practical advice.

  3. Polarisation and consensus: Public acceptance of new technologies in the Federal Republic of Germany

    International Nuclear Information System (INIS)

    Petermann, T.; Thurn, G.

    1985-01-01

    The report starts out with characterizing the 'climate of acceptance'. After a discussion of the results of surveys on public opinion and attitude, programmes and strategies of some actors in the field of technology policy are introduced; the role of the education system and the influence of the mass media are examined briefly in this context. Further, the paper deals with the development of the problem of acceptance in the course of the past two decades. The debates on nuclear energy and the introduction of new information technologies are analysed with an eye to structural differences. Finally the report turns to some considerations on the role of the acceptance issue in the context of structural problems in society. In an annex it is attempted both to obtain an overview of the various meanings of the term 'acceptance' and to summarise tendencies of social science research on acceptance. (orig./HSCH) [de

  4. Technological Solutions to Social and Citizen Problems. The Case of Civic and Public Challenges in Mexico

    Directory of Open Access Journals (Sweden)

    Martin Adalberto TENA-ESPINOZA-DE-LOS-MONTEROS

    2017-04-01

    Full Text Available This paper describes the process of civic innovation that, based on technological solutions and open initiatives, the civic society’s organization Codeando México suggests for the attention and solution of social and civic problems in Mexico. The Retos Cívicos (Civic Challenges and Retos Públicos (Public Challenges initiatives are addressed and described as experiences of innovation in the implementation of technological strategies for the solution of social and civic problems. A reflection is made on the civic appropriation of the ICTs and its irruption in the processes of innovation, as well as on the impact that the ICTs have in the conformation of a new civic ecosystem. Last, the strategies of Hacking cívico (Civic Hacking and Comunidades Cívicas (Civic Communities that the Codeando México organization promotes as a model for the linkage and civic participation within the frame of civic innovation, are mentioned.

  5. Exploring the Digital Divide: The Use of Digital Technologies in Ontario Public Schools

    Directory of Open Access Journals (Sweden)

    Bodong Chen

    2015-10-01

    Full Text Available Combining data from a school principal survey with student demographics and achievement data, the present study aimed to develop a much needed understanding of ICT usage in Ontario’s K-12 public schools. Results indicated equitable first-order access to technology for schools, early integration of ICT from the earliest grades, frequent application of ICT in teaching, and an enabling effect of ICT on additional access to learning resources and distance learning. However, challenges were also uncovered in building technology infrastructure for a small fraction of schools; ensuring home access for schools with lower family incomes, smaller size or from remote regions; and providing teachers with professional development for choosing online materials and adopting emerging ICT-enabled teaching practice. Furthermore, this study highlighted the importance of parent involvement in ICT usage and the potential beneficial linkage between ICT usage and student learning achievement.

  6. HEALTH TECHNOLOGY PERFORMANCE ASSESSMENT: REAL-WORLD EVIDENCE FOR PUBLIC HEALTHCARE SUSTAINABILITY.

    Science.gov (United States)

    Guerra-Júnior, Augusto Afonso; Pires de Lemos, Lívia Lovato; Godman, Brian; Bennie, Marion; Osorio-de-Castro, Cláudia Garcia Serpa; Alvares, Juliana; Heaney, Aine; Vassallo, Carlos Alberto; Wettermark, Björn; Benguria-Arrate, Gaizka; Gutierrez-Ibarluzea, Iñaki; Santos, Vania Cristina Canuto; Petramale, Clarice Alegre; Acurcio, Fransciso de Assis

    2017-01-01

    Health technology financing is often based on randomized controlled trials (RCTs), which are often the same ones used for licensing. Because they are designed to show the best possible results, typically Phase III studies are conducted under ideal and highly controlled conditions. Consequently, it is not surprising that technologies do not always perform in real life in the same way as controlled conditions. Because financing (and price paid) decisions can be made with overestimated results, health authorities need to ask whether health systems achieve the results they expect when they choose to pay for a technology. The optimal way to answer this question is to assess the performance of financed technologies in real-world settings. Health technology performance assessment (HTpA) refers to the systematic evaluation of the properties, effects, and/or impact of a health intervention or health technology in the real world to provide information for investment/disinvestment decisions and clinical guideline updates. The objective is to describe the development and principal aspects of the Guideline for HTpA commissioned by the Brazilian Ministry of Health. Our methods used include extensive literature review, refinement with experts across countries, and public consultation. A comprehensive guideline was developed, which has been adopted by the Brazilian government. We believe the guideline, with its particular focus on disinvestment, along with the creation of a specific program for HTpA, will allow the institutionalization and continuous improvement of the scientific methods to use real-world evidence to optimize available resources not only in Brazil but across countries.

  7. Leaves of knowledge, a collectable publication for dissemination of scientific and technological topics

    International Nuclear Information System (INIS)

    Spurio, S. M.

    2013-01-01

    The Institute of Energy and Sustainable Development (IEDS) of the National Atomic Energy Commission of Argentina performs an active task of popularization of nuclear science and technology applications and its spin-off activities. The IEDS, based on this goal and the known expression of Descartes 'Science branches intertwine in the Tree of Knowledge' has been making the annual task of inviting authors, editing, publishing and often, printing the publication Leaves of Knowledge, since 2008 and without interruption. The presentation format consists in a holder folder containing collectibles sheets. Each sheet represents a leaf on the Tree Science Knowledge. The publication encourages the participation of renowned professionals invited from CNEA and other Institutions who are committing to writing just two pages of their topic specialty. As to the fifth edition currently being edited, 56 items have already been published on the following seven general topics: ENVIRONMENT - APPLICATIONS - SCIENCE - ENERGY - MATERIALS - HEALTH - SAFETY. Although it was originally aimed to the general public, now it has evolved into three distinct approaches also covering universitary and professional level. Its PDF version is available to the public through the IEDS website and it was registered under its corresponding ISBN. (author)

  8. A public perspective on the adoption of microgeneration technologies in New Zealand: A multivariate probit approach

    International Nuclear Information System (INIS)

    Baskaran, Ramesh; Managi, Shunsuke; Bendig, Mirko

    2013-01-01

    The growing demand for electricity in New Zealand has led to the construction of new hydro-dams or power stations that have had environmental, social and cultural effects. These effects may drive increases in electricity prices, as such prices reflect the cost of running existing power stations as well as building new ones. This study uses Canterbury and Central Otago as case studies because both regions face similar issues in building new hydro-dams and ever-increasing electricity prices that will eventually prompt households to buy power at higher prices. One way for households to respond to these price changes is to generate their own electricity through microgeneration technologies (MGT). The objective of this study is to investigate public perception and preferences regarding MGT and to analyze the factors that influence people’s decision to adopt such new technologies in New Zealand. The study uses a multivariate probit approach to examine households’ willingness to adopt any one MGT system or a combination of the MGT systems. Our findings provide valuable information for policy makers and marketers who wish to promote effective microgeneration technologies. - Highlights: ► We examine New Zealand households’ awareness level for microgeneration technologies (MGT) and empirically explore the factors that determine people’s willingness to adopt for MGT. ► The households are interested and willing to adopt the MGT systems. ► Noticeable heterogeneity exists between groups of households in adopting the MGT. ► No significant regional difference exists in promoting solar hot water policies. ► Public and private sectors incentives are important in promoting the MGT

  9. 78 FR 56952 - Notice of Meetings: Public Meetings of the National Science and Technology Council; Committee on...

    Science.gov (United States)

    2013-09-16

    ... Subcommittee; National Nanotechnology Coordination Office AGENCY: Office of Science and Technology Policy. ACTION: Notice of public meetings. SUMMARY: The National Nanotechnology Coordination Office (NNCO), on... research gaps and barriers and to address environmental, health, and safety questions about nanomaterials...

  10. Evaluation of Public E-Services and Information Technology Accessibility in Different Social Groups

    Directory of Open Access Journals (Sweden)

    Ramutė Naujikienė

    2013-02-01

    Full Text Available The purpose of this study is to develop an approach based on the social quality evaluation square model for evaluation of information technology usage in different social groups. Componential view to the accessibility of e-services including IT means providing the possibility to research the influences of different life conditions to usage of the public e-services. The task of this empirical study is directed towards revealing the differences of e-inclusion and e-services accessibility for social groups of citizens of Lithuania, and to compare this accessibility data with other EU countries. Design/methodology/approach—the approach is based on the square model of social quality evaluation of information technology usage in different social groups. The social division square model includes an assessment of quality according to the evaluation of socioeconomic security, social inclusion, social cohesion, and empowerment. Empowerment can be defined as consisting of individual or collective decisions to act on one’s own life. Findings—the results are demonstrated by the accessibility of public e-services data, which are evaluated by the quality of social group development according to IT applications. The hypothesis was confirmed that the e-government activities can be realized by properly selecting and installing technologies, and using technology facilities. E-services influence the capabilities of state officials to apply modern technology and increase the availability of e-services for social groups. Results consist of individual or collective decisions to act on one’s own life, to implementation of effective information technologies in the e-government activities and using of e-services. An important indicator is the implementation of e-services in the activity of citizens. It is submitted as the index of e-participation in dealing with the activities of citizens and the possibilities of authorities directly related with providing

  11. Quantitative Analysis of Technological Innovation in Knee Arthroplasty: Using Patent and Publication Metrics to Identify Developments and Trends.

    Science.gov (United States)

    Dalton, David M; Burke, Thomas P; Kelly, Enda G; Curtin, Paul D

    2016-06-01

    Surgery is in a constant continuum of innovation with refinement of technique and instrumentation. Arthroplasty surgery potentially represents an area with highly innovative process. This study highlights key area of innovation in knee arthroplasty over the past 35 years using patent and publication metrics. Growth rates and patterns are analyzed. Patents are correlated to publications as a measure of scientific support. Electronic patent and publication databases were searched over the interval 1980-2014 for "knee arthroplasty" OR "knee replacement." The resulting patent codes were allocated into technology clusters. Citation analysis was performed to identify any important developments missed on initial analysis. The technology clusters identified were further analyzed, individual repeat searches performed, and growth curves plotted. The initial search revealed 3574 patents and 16,552 publications. The largest technology clusters identified were Unicompartmental, Patient-Specific Instrumentation (PSI), Navigation, and Robotic knee arthroplasties. The growth in patent activity correlated strongly with publication activity (Pearson correlation value 0.892, P technology in the last 5 years, is currently in a period of exponential growth that began a decade ago. Established technologies in the study have double s-shaped patent curves. Identifying trends in emerging technologies is possible using patent metrics and is useful information for training and regulatory bodies. The decline in ratio of publications to patents and the uninterrupted growth of PSI are developments that may warrant further investigation. Copyright © 2015 Elsevier Inc. All rights reserved.

  12. Public acceptance, market development and commercialization of food irradiation technology in Bangladesh

    International Nuclear Information System (INIS)

    Karim, A.

    2001-01-01

    Current status of food irradiation technology in Bangladesh with respect to public acceptance, commercial application, trade development and present research and development activities are summarized in the paper. Irradiated food products are generally accepted by people. To further boost public opinion on the usefulness of the technology, two national seminars were successfully organized in 1995 and 1996 respectively with wide participation and media coverage. A number of non-traditional items such as beef casing, flour, turtle meat, macaroni, peat soil, etc. were irradiated and successfully marketed during the last 5 years. Bangladesh adopted a ''Specification for Authorisation of Irradiation by Groups/Classes of Foods'' in 1995 in line with the ICGFI Guidelines. The Bangladesh Standard is essentially similar to the Harmonised Regulations adopted for the RCA countries in April 1998. About 1300 metric tons of different food items were irradiated for commercial purposes at the Gammatech Irradiation Facility in Chittagong during the past 5 years. Present research activities in Bangladesh include irradiation disinfestations of nematodes in ginger and turmeric, and mites and thrips from cut flowers. Work on identification of fruit flies, mites and thrips by using sensitive protein markers is in progress. (author)

  13. Desert Research and Technology Studies (DRATS) 2010 Education and Public Outreach (EPO)

    Science.gov (United States)

    Paul, Heather L.

    2013-10-01

    The Exploration Systems Mission Directorate, Directorate Integration Office conducts analog field test activities, such as Desert Research and Technology Studies (DRATS), to validate exploration system architecture concepts and conduct technology demonstrations. Education and Public Outreach (EPO) activities have been a part of DRATS missions in the past to engage students, educators, and the general public in analog activities. However, in 2010, for the first time, EPO was elevated as a principal task for the mission and metrics were collected for all EPO activities. EPO activities were planned well in advance of the mission, with emphasis on creating a multitude of activities to attract students of all ages. Web-based and social media interaction between August 31 and September 14, 2010 resulted in 62,260 DRATS Flickr views; 10,906 views of DRATS videos on YouTube; 1,483 new DRATS Twitter followers; and a 111% increase in DRATS Facebook fan interactions. Over 7,000 outreach participants were directly involved in the DRATS 2010 analog mission via student visitations at both the integrated dry-runs prior to the field mission and during the field mission; by participating in live, interactive webcasts and virtual events; and online voting to determine a traverse site as part of the NASA initiative for Participatory Exploration (PE).

  14. Implementation of laser technology and treatment at county level in the Swedish Public Dental Service.

    Science.gov (United States)

    Bergholm, Åsa; Östberg, Anna-Lena; Gabre, Pia

    2014-01-01

    The aim of this study was to obtain an understanding of the factors that affected the way new technology and methods were used in dentistry after a training program. A qualitative research method was used to collect data. Nine dentists working in the Public Dental Service (PDS) in Uppsala County in Sweden agreed to be interviewed in the study. They worked in five different clinics, all with laser equipment, and had received training in the use of lasers. The interviews were tape recorded and transcribed, and were analysed using manifest and latent qualitative content analysis. The categories in this study were identified as "Prerequisites and obstacles to imple- mentation", "Attitudes to laser technology and treatments" and "Laser technology in the future'". The dentists described working with lasers as complicated and problematic. They had concerns about the method relating to the working environment, evidence of efficacy of treatment, costs, and benefits for patients and dentists. The main finding was that the decision to adopt the technology seemed to be based on individual perceptions of the value of lasers compared to other ways of achieving the same goal. They provided uniform proposals regarding how an organization should implement new methods, including an emphasis on the importance of preparation and having opportunities to be able to test and evaluate the technology. Another important factor was support from surrounding staff, colleagues and management. Despite all the barriers, the respondents were positive about working with lasers in the future, mainly due to their belief that patients would demand laser treatment. In conclusion both individual and organizational factors affected the extent to which the respondents used the laser. The main finding was the individual perception of the value of lasers compared to other methods which could achieve the same goal.

  15. SECOND-STAGE TREATMENTS FOR RELATIVE NONRESPONDERS TO COGNITIVE BEHAVIORAL THERAPY (CBT) FOR PANIC DISORDER WITH OR WITHOUT AGORAPHOBIA-CONTINUED CBT VERSUS SSRI: A RANDOMIZED CONTROLLED TRIAL.

    Science.gov (United States)

    Payne, Laura A; White, Kamila S; Gallagher, Matthew W; Woods, Scott W; Shear, M Katherine; Gorman, Jack M; Farchione, Todd J; Barlow, David H

    2016-05-01

    Cognitive behavioral therapy (CBT) and pharmacotherapy are efficacious for the short-term treatment of panic disorder. Less is known about the efficacy of these therapies for individuals who do not respond fully to short-term CBT. The current trial is a second-step stratified randomized design comparing two treatment conditions-selective serotonin reuptake inhibitor (SSRI; paroxetine or citalopram; n = 34) and continued CBT (n = 24)-in a sample of individuals classified as treatment nonresponders to an initial course of CBT for panic disorder. Participants were randomized to 3 months of treatment and then followed for an additional 9 months. Only treatment responders after 3 months were maintained on the treatment until 12-month follow-up. Data analysis focused on panic disorder symptoms and achievement of response status across the first 3 months of treatment. Final follow-up data are presented descriptively. Participants in the SSRI condition showed significantly lower panic disorder symptoms as compared to continued CBT at 3 months. Results were similar when excluding individuals with comorbid major depression or analyzing the entire intent-to-treat sample. Group differences disappeared during 9-month naturalistic follow-up, although there was significant attrition and use of nonstudy therapies in both arms. These data suggest greater improvement in panic disorder symptoms when switching to SSRI after failure to fully respond to an initial course of CBT. Future studies should further investigate relapse following treatment discontinuation for nonresponders who became responders. Clinicaltrials.gov Identifier: NCT00000368; https://clinicaltrials.gov/show/NCT00000368. © 2015 Wiley Periodicals, Inc.

  16. Using CBT with Anxious Language Learners: The Potential Role of the Learning Advisor

    Directory of Open Access Journals (Sweden)

    Neil Curry

    2014-01-01

    Full Text Available Foreign Language Anxiety (FLA can be a crippling condition for many students, preventing them from taking an active part in the classroom, and also retarding their L2 use in wider communicative situations. Providing learners with the tools to overcome anxiety on an individual basis is an area which needs further investigation. Cognitive Behaviour Therapy (CBT is a widespread counselling practice used to treat anxieties. It shares similarities with some techniques employed in Advising in Language Learning (ALL for helping students with language goals, and it is worthwhile investigating and raising awareness of how it can be used for FLA. The article describes major characteristics of FLA and also CBT, and then describes four functions which CBT and ALL share: goal-setting, guided discovery, Socratic questioning and use of reflection. Preliminary research also demonstrates how some of the practices associated with CBT could be applied by Learning Advisors to help students to overcome FLA.

  17. Experience, Adoption, and Technology: Exploring the Phenomenological Experiences of Faculty Involved in Online Teaching at One School of Public Health

    Science.gov (United States)

    Kidd, Terry; Davis, Trina; Larke, Patricia

    2016-01-01

    Using the Unified Theory of Acceptance and Use of Technology (UTAUT) and Dewey's Theory of Experience, this phenomenological study explored the experiences of faculty who engaged in online teaching at one school of public health. Findings revealed that the experiences of public health faculty, who engaged in online teaching, are similar and…

  18. A 10-YEAR HOSPITAL-BASED HEALTH TECHNOLOGY ASSESSMENT PROGRAM IN A PUBLIC HOSPITAL IN ARGENTINA.

    Science.gov (United States)

    Demirdjian, Graciela

    2015-01-01

    To describe the first hospital-based health technology assessment (HTA) program in a public hospital in Argentina, and report some clinical, educational, economic and organizational results after 10 years of its implementation. A hospital-based HTA program was created in March 2001 at Hospital Garrahan (Buenos Aires, Argentina), a national pediatric facility with a self-managed budget. Its main goal is to promote a rational and evidence-based technologic development. The program consists of HTA reports for technology acquisition, clinical practice guidelines (CPG), capacity building in research and management, and technical support for health services research (HSR). The evaluation cycle comprises: prioritization, evidence synthesis, dissemination and monitoring. We report program performance, comment educational and organizational effects, and discuss unresolved issues and future challenges. During the first 10 years the program produced 18 HTA reports on drugs (6 = 33 percent), therapeutic (6 = 33 percent), preventive (2 = 11 percent) or diagnostic (2 = 11 percent) procedures and institutional programs (3 = 17 percent). The scope covered effectiveness (12 = 67 percent), safety (10 = 56 percent), budget impact (6 = 33 percent), cost-effectiveness (2 = 11 percent) and organizational impact (3 = 17 percent). Mean time from request to report was 10 months. Eleven pediatric CPGs were submitted to expert consensus and disseminated for full-text Web access. A 1-year course on research and management was completed by 225 professionals in 6 years, and twenty-two projects for HSR were coached. Our experience shows that an HTA program is both feasible and useful in a public hospital of a developing country. Promotion of hospital-based HTA, professional integration in HTA activities and network collaboration to discuss unresolved issues with colleagues can multiply the benefits and optimize the use of hospital budgets.

  19. The National Space Science and Technology Center's Education and Public Outreach Program

    Science.gov (United States)

    Cox, G. N.; Denson, R. L.

    2004-12-01

    The objective of the National Space Science and Technology Center's (NSSTC) Education and Public Outreach program (EPO) is to support K-20 education by coalescing academic, government, and business constituents awareness, implementing best business/education practices, and providing stewardship over funds and programs that promote a symbiotic relationship among these entities, specifically in the area of K-20 Science, Technology, Engineering, and Mathematics (STEM) education. NSSTC EPO Program's long-term objective is to showcase its effective community-based integrated stakeholder model in support of STEM education and to expand its influence across the Southeast region for scaling ultimately across the United States. The Education and Public Outreach program (EPO) is coordinated by a supporting arm of the NSSTC Administrative Council called the EPO Council (EPOC). The EPOC is funded through federal, state, and private grants, donations, and in-kind contributions. It is comprised of representatives of NSSTC Research Centers, both educators and scientists from the Alabama Space Science and Technology Alliance (SSTA) member institutions, the Alabama Space Grant Consortium and the NASA Marshall Space Flight Center's (MSFC) Education Office. Through its affiliation with MSFC and the SSTA - a consortium of Alabama's research universities that comprise the NSSTC, EPO fosters the education and development of the next generation of Alabama scientists and engineers by coordinating activities at the K-20 level in cooperation with the Alabama Department of Education, the Alabama Commission on Higher Education, and Alabama's businesses and industries. The EPO program's primary objective is to be Alabama's premiere organization in uniting academia, government, and private industry by way of providing its support to the State and Federal Departments of Education involved in systemic STEM education reform, workforce development, and innovative uses of technology. The NSSTC EPO

  20. Information and communication technology: connecting the public and first responders during disasters.

    Science.gov (United States)

    Buzzelli, Michelle M; Morgan, Paula; Muschek, Alexander G; Macgregor-Skinner, Gavin

    2014-01-01

    Lack of success in disaster recovery occurs for many reasons, with one predominant catalyst for catastrophic failure being flawed and inefficient communication systems. Increased occurrences of devastating environmental hazards and human-caused disasters will continue to promulgate throughout the United States and around the globe as a result of the continuous intensive urbanization forcing human population into more concentrated and interconnected societies. With the rapid evolutions in technology and the advent of Information and communication technology (ICT) interfaces such as Facebook, Twitter, Flickr, Myspace, and Smartphone technology, communication is no longer a unidirectional source of information traveling from the newsroom to the public. In the event of a disaster, time critical information can be exchanged to and from any person or organization simultaneously with the capability to receive feedback. A literature review of current information regarding the use of ICT as information infrastructures in disaster management during human-caused and natural disasters will be conducted. This article asserts that the integrated use of ICTs as multidirectional information sharing tools throughout the disaster cycle will increase a community's resiliency and supplement the capabilities of first responders and emergency management officials by providing real-time updates and information needed to assist and recover from a disaster.

  1. Studi evaluasi penerapan Community Based Tourism (CBT) sebagai pendukung agrowisata berkelanjutan

    OpenAIRE

    Sri Endah Nurhidayati

    2015-01-01

    The role of government in the development of Community Based Tourism (CBT) is very important to strengthen communities around the tourism destination. Government has significant role to ensure that the community has accesses, opportunities and an important power in the development of tourism. The objectives of this research are: (1) describe the government's perception of the  Community Based Tourism (CBT) development, (2) identifying government policies to support the Community Based Tourism...

  2. Studi Evaluasi Penerapan Community Based Tourism (CBT) Sebagai Pendukung Agrowisata Berkelanjutan

    OpenAIRE

    Nurhidayati, Sri Endah

    2015-01-01

    The role of government in the development of Community Based Tourism (CBT) is very important to strengthen communities around the tourism destination. Government has significant role to ensure that the community has accesses, opportunities and an important power in the development of tourism. The objectives of this research are: (1) describe the government's perception of the Community Based Tourism (CBT) development, (2) identifying government policies to support the Community Based Tourism...

  3. LONGER-TERM EFFECTIVENESS OF CBT IN TREATMENT OF COMORBID AUD/MDD ADOLESCENTS.

    Science.gov (United States)

    Cornelius, Jack R; Douaihy, Antoine B; Kirisci, Levent; Daley, Dennis C

    2013-01-01

    Cognitive Behavioral Therapy (CBT) is a commonly used therapy among persons with major depressive disorder (MDD) and also among those with alcohol use disorders (AUD). However, less is known regarding the efficacy of CBT for treating persons with co-occurring disorders involving both MDD and an AUD. Studies assessing the efficacy of CBT in adolescent populations with co-occurring disorders are particularly sparse, especially studies designed to assess the potential longer-term efficacy of an acute phase trial of CBT therapy in that youthful comorbid population. We recently conducted a first acute phase treatment study involving comorbid AUD/MDD adolescents, which involved the medication fluoxetine as well as manualized CBT therapy. The results of that acute phase study suggested efficacy for CBT therapy but not for fluoxetine for treating the depressive symptoms and the excessive alcohol use of study subjects (Cornelius et al., 2009). The current chapter provides an assessment of the long-term efficacy of CBT for treating comorbid AUD/MDD adolescents, based on results from our own long-term (four-year) follow-up study, which was conducted following the completion of our recent acute phase treatment study. The results of the study suggest long-term efficacy for acute phase CBT/MET therapy for treating both the depressive symptoms and the excessive alcohol use of comorbid AUD/MDD adolescents, but demonstrate no evidence of long-term efficacy for fluoxetine for treating either the depressive symptoms or the excessive alcohol use of that population.

  4. Effectiveness of group CBT in treating adolescents with depression symptoms: a critical review.

    Science.gov (United States)

    Nardi, Bernardo; Massei, Micaela; Arimatea, Emidio; Moltedo-Perfetti, Andrés

    2016-01-20

    Depression is among the most common psychological disorders of adolescents. Its management is based on pharmacological treatment, psychological therapy, or a combination thereof. Cognitive behavioral therapy (CBT) is the most extensively tested intervention for adolescent depression. A PubMed search was conducted for randomized controlled trials (RCT) of the efficacy of CBT in treating adolescents with depressive symptoms published in 2005-2015. Keywords were "cognitive behavioral therapy", "group therapy", "depression" and "adolescent". Of the 23 papers that were retrieved, only six met all inclusion criteria. Three of them reported a significant reduction in depressive symptom severity after either individual or group (G)-CBT compared with the control group, even with a small number of CBT sessions (six rather than 10-12), with a medium or medium-to-large effect size. One study reported improved self-awareness and a significantly greater increase in perceived friend social support compared with bibliotherapy and check with brochure. Two studies reported clinical symptom reduction without significant differences compared with the control group (activity contrast). This review highlighted primarily that very few RCT have applied CBT in adolescents; moreover, it confirmed the effectiveness of G-CBT, especially as psychotherapy, although it was not always superior to other interventions (e.g. other activities in prevention programs). Comparison showed that G-CBT and group interpersonal psychotherapy were both effective in reducing depressive symptoms. Successful G-CBT outcomes were related to the presence of peers, who were an important source of feedback and support to observe, learn, and practice new skills to manage depressive symptoms and improve social-relational skills.

  5. Treatment engagement and response to CBT among Latinos with anxiety disorders in primary care.

    Science.gov (United States)

    Chavira, Denise A; Golinelli, Daniela; Sherbourne, Cathy; Stein, Murray B; Sullivan, Greer; Bystritsky, Alexander; Rose, Raphael D; Lang, Ariel J; Campbell-Sills, Laura; Welch, Stacy; Bumgardner, Kristin; Glenn, Daniel; Barrios, Velma; Roy-Byrne, Peter; Craske, Michelle

    2014-06-01

    In the current study, we compared measures of treatment outcome and engagement for Latino and non-Latino White patients receiving a cognitive behavioral therapy (CBT) program delivered in primary care. Participants were 18-65 years old and recruited from 17 clinics at 4 different sites to participate in a randomized controlled trial for anxiety disorders, which compared the Coordinated Anxiety Learning and Management (CALM) intervention (consisting of CBT, medication, or both) with usual care. Of those participants who were randomized to the intervention arm and selected CBT (either alone or in combination with medication), 85 were Latino and 251 were non-Latino White; the majority of the Latino participants received the CBT intervention in English (n = 77). Blinded assessments of clinical improvement and functioning were administered at baseline and at 6, 12, and 18 months after baseline. Measures of engagement, including attendance, homework adherence, understanding of CBT principles, and commitment to treatment, were assessed weekly during the CBT intervention. Findings from propensity-weighted linear and logistic regression models revealed no statistically significant differences between Latinos and non-Latino Whites on symptom measures of clinical improvement and functioning at almost all time points. There were significant differences on 2 of 7 engagement outcomes, namely, number of sessions attended and patients' understanding of CBT principles. These findings suggest that CBT can be an effective treatment approach for Latinos who are primarily English speaking and likely more acculturated, although continued attention should be directed toward engaging Latinos in such interventions. PsycINFO Database Record (c) 2014 APA, all rights reserved.

  6. The broad challenge of public engagement in science: commentary on: "Constitutional moments in governing science and technology".

    Science.gov (United States)

    van Est, Rinie

    2011-12-01

    Timely public engagement in science presents a broad challenge. It includes more than research into the ethical, legal and social dimensions of science and state-initiated citizen's participation. Introducing a public perspective on science while safeguarding its public value involves a diverse set of actors: natural scientists and engineers, technology assessment institutes, policy makers, social scientists, citizens, interest organisations, artists, and last, but not least, politicians.

  7. A Clinical Trial of In-Home CBT for Depressed Mothers in Home Visitation

    Science.gov (United States)

    Ammerman, Robert T.; Putnam, Frank W.; Altaye, Mekibib; Stevens, Jack; Teeters, Angelique R.; Van Ginkel, Judith B.

    2013-01-01

    Despite negative outcomes for depressed mothers and their children, no treatment specifically designed to address maternal depression in the context of home visitation has emerged. In-Home Cognitive Behavioral Therapy (IH-CBT) is an adapted treatment that is delivered in the home, focuses on the needs of new mothers, and leverages ongoing home visiting to optimize engagement and outcomes. This study examined the efficacy of IH-CBT using a randomized clinical trial. Subjects were 93 new mothers in a home visiting program. Mothers with major depressive disorder identified at 3 months postpartum were randomized into IH-CBT and ongoing home visitation (n=47) or standard home visitation (SHV; n=46) in which they received home visitation alone and could obtain treatment in the community. Depression was measured at pre- and posttreatment, and 3-month follow-up using interviews, clinician ratings, and self-report. Mothers receiving IH-CBT showed improvements in all indicators of depression relative to the SHV condition and these gains were maintained at follow-up. For example, 70.7% of mothers receiving IH-CBT were no longer depressed at posttreatment in terms of meeting criteria for major depressive disorder compared to 30.2% in the SHV group. These findings suggest that IH-CBT is an efficacious treatment for depressed mothers in home visitation programs. PMID:23768664

  8. A clinical trial of in-home CBT for depressed mothers in home visitation.

    Science.gov (United States)

    Ammerman, Robert T; Putnam, Frank W; Altaye, Mekibib; Stevens, Jack; Teeters, Angelique R; Van Ginkel, Judith B

    2013-09-01

    Despite negative outcomes for depressed mothers and their children, no treatment specifically designed to address maternal depression in the context of home visitation has emerged. In-Home Cognitive Behavioral Therapy (IH-CBT) is an adapted treatment that is delivered in the home, focuses on the needs of new mothers, and leverages ongoing home visiting to optimize engagement and outcomes. This study examined the efficacy of IH-CBT using a randomized clinical trial. Subjects were 93 new mothers in a home visiting program. Mothers with major depressive disorder identified at 3months postpartum were randomized into IH-CBT and ongoing home visitation (n=47) or standard home visitation (SHV; n=46) in which they received home visitation alone and could obtain treatment in the community. Depression was measured at pre- and posttreatment, and 3-month follow-up using interviews, clinician ratings, and self-report. Mothers receiving IH-CBT showed improvements in all indicators of depression relative to the SHV condition and these gains were maintained at follow-up. For example, 70.7% of mothers receiving IH-CBT were no longer depressed at posttreatment in terms of meeting criteria for major depressive disorder compared to 30.2% in the SHV group. These findings suggest that IH-CBT is an efficacious treatment for depressed mothers in home visitation programs. Copyright © 2013. Published by Elsevier Ltd.

  9. Cognitive Behavioral Therapy (CBT) for Subacute Low Back Pain: a Systematic Review.

    Science.gov (United States)

    Mariano, Timothy Y; Urman, Richard D; Hutchison, Catherine A; Jamison, Robert N; Edwards, Robert R

    2018-02-23

    Chronic low back pain (CLBP) is a major source of physical and psychiatric morbidity and mortality, and the current overreliance on opioid analgesics has contributed to a burgeoning epidemic in the USA. Cognitive behavioral therapy (CBT) is an empirically supported treatment for CLBP, but little information exists regarding its potential efficacy for CLBP's precursor condition, subacute low back pain (sALBP), defined here as having a 7-12-week duration. Earlier intervention with CBT at the sALBP stage could produce larger clinical benefits. This systematic review was undertaken to characterize and highlight this knowledge gap. Of 240 unique articles identified by comprehensive database searches, only six prospective, sALBP-focused, randomized controlled trials (RCTs) published within the past 20 years met criteria for inclusion in this review. These studies varied widely in their sample sizes, precise definition of sALBP, nature of CBT intervention, and outcome measures. Five of the six showed significant improvements associated with CBT, but the heterogeneity of the studies prevented quantitative comparisons. CBT has not been adequately studied as a potential early intervention treatment for sALBP patients. None of the six identified papers studied US civilians or leveraged innovations such as teletherapy-able to reach patients in remote or underserved areas-underscoring critical gaps in current back pain treatment. Given the severity of the US opioid epidemic, non-pharmacologic options such as CBT should be rigorously explored in the sALBP population.

  10. Is supervision necessary? Examining the effects of internet-based CBT training with and without supervision.

    Science.gov (United States)

    Rakovshik, Sarah G; McManus, Freda; Vazquez-Montes, Maria; Muse, Kate; Ougrin, Dennis

    2016-03-01

    To investigate the effect of Internet-based training (IBT), with and without supervision, on therapists' (N = 61) cognitive-behavioral therapy (CBT) skills in routine clinical practice. Participants were randomized into 3 conditions: (1) Internet-based training with use of a consultation worksheet (IBT-CW); (2) Internet-based training with CBT supervision via Skype (IBT-S); and (3) "delayed-training" controls (DTs), who did not receive the training until all data collection was completed. The IBT participants received access to training over a period of 3 months. CBT skills were evaluated at pre-, mid- and posttraining/wait using assessor competence ratings of recorded therapy sessions. Hierarchical linear analysis revealed that the IBT-S participants had significantly greater CBT competence at posttraining than did IBT-CW and DT participants at both the mid- and posttraining/wait assessment points. There were no significant differences between IBT-CW and the delayed (no)-training DTs. IBT programs that include supervision may be a scalable and effective method of disseminating CBT into routine clinical practice, particularly for populations without ready access to more-traditional "live" methods of training. There was no evidence for a significant effect of IBT without supervision over a nontraining control, suggesting that merely providing access to IBT programs may not be an effective method of disseminating CBT to routine clinical practice. (c) 2016 APA, all rights reserved).

  11. Infographic Development by Accelerated Bachelor of Science in Nursing Students: An Innovative Technology-Based Approach to Public Health Education.

    Science.gov (United States)

    Falk, Nancy L

    Health communications and baccalaureate nursing education are increasingly impacted by new technological tools. This article describes how an Accelerated Bachelor of Science in Nursing program incorporates an infographic assignment into a graduate-level online health information and technology course. Students create colorful, engaging infographics using words and visuals to communicate public health information. The assignment, which incorporates the use of data and evidence, provides students the opportunity to acquire new research and technology skills while gaining confidence creating and innovating. The finished products may be disseminated, serving as vehicles to influence public health and well-being.

  12. Taking Advantage of STEM (Science, Technology, Engineering, and Math) Popularity to Enhance Student/Public Engagement

    Science.gov (United States)

    Dittrich, T. M.

    2011-12-01

    For a student group on campus, "the public" can refer to other students on campus or citizens from the community (including children, parents, teenagers, professionals, tradespeople, older people, and others). All of these groups have something to offer that can enrich the experiences of a student group. Our group focuses on science, technology, engineering and math (STEM) education in K-12 schools, university courses, and outreach activities with the general public. We will discuss the experiences of "All Things STEM" on the University of Colorado-Boulder campus and outreach in Boulder and Weld County, CO. Our experiences include (1) tours and events that offer an opportunity for student/public interaction, (2) grant requests and projects that involve community outreach, and (3) organizing conferences and events with campus/public engagement. Since our group is STEM-oriented, tours of water treatment plants, recycling centers, and science museums are a great way to create connections. Our most successful campus/public tour is our annual tour of the Valmont Station coal power plant near Boulder. We solicit students from all over campus and Boulder public groups with the goal to form a diverse and intimate 8 person group (students, school teachers, mechanics, hotel managers, etc.) that takes a 1.5 hr tour of the plant guided by the Chief Engineer. This includes a 20 minute sit-down discussion of anything the group wants to talk about including energy policy, plant history, recent failures, coal versus other fuels, and environmental issues. The tour concludes with each member placing a welding shield over their face and looking at the flames in the middle of the boiler, a little excitement that adds to the connections the group forms with each other. We have received over 11,000 to work with local K-12 schools and CU-Boulder undergraduate and graduate classes to develop a platform to help students learn and explain water quality concepts in a more practical manner

  13. Innovation and adoption of mobile technology in public organizations: the IBGE case

    Directory of Open Access Journals (Sweden)

    Amarolinda Iara da Costa Zanela Saccol

    2011-01-01

    Full Text Available The use of Mobile and Wireless Information Technologies (MWIT for provisioning public services by a government is a relatively recent phenomenon. This paper evaluates the results of MWIT adoption by IBGE (The Brazilian Institute of Geography and Statistics through a case study. In 2007, IBGE applied 82,000 mobile devices (PDAs for data gathering in a census operation in Brazil. A set of challenges for a large scale application of MWIT required intensive work involving innovative working practices and service goals. The case reveals a set of outputs of this process, such as time and cost reductions in service provision, improved information quality, staff training and increased organizational effectiveness and agility.

  14. Measuring risk/benefit perceptions of emerging technologies and their potential impact on communication of public opinion toward science.

    Science.gov (United States)

    Binder, Andrew R; Cacciatore, Michael A; Scheufele, Dietram A; Shaw, Bret R; Corley, Elizabeth A

    2012-10-01

    This study presents a systematic comparison of two alternative measures of citizens' perceptions of risks and benefits of emerging technologies. By focusing on two specific issues (nanotechnology and biofuels), we derive several insights for the measurement of public views of science. Most importantly, our analyses reveal that relying on global, single-item measures may lead to invalid inferences regarding external influences on public perceptions, particularly those related to cognitive schema and media use. Beyond these methodological implications, this analysis suggests several reasons why researchers in the area of public attitudes toward science must revisit notions of measurement in order to accurately inform the general public, policymakers, scientists, and journalists about trends in public opinion toward emerging technologies.

  15. Self-guided internet-delivered cognitive behavior therapy (iCBT for obsessive–compulsive disorder: 12 month follow-up

    Directory of Open Access Journals (Sweden)

    Bethany M. Wootton

    2015-09-01

    Full Text Available Internet-delivered cognitive behavior therapy (iCBT may reduce barriers to treatment faced by people with obsessive–compulsive disorder (OCD. To date, most research on iCBT for OCD has evaluated clinician-guided treatments. However, self-guided treatments, which do not involve contact with a clinician, have considerable public health potential and may be particularly advantageous for those patients who report stigma as a principal barrier to treatment. The findings of a recent trial of self-guided iCBT for symptoms of OCD highlighted the potential of this approach and found large within-group effect sizes from pre- to post-treatment on the YBOCS-SR (d = 1.37, sustained at 3-month follow-up (d = 1.17. In addition, 32% of participants met criteria for clinically significant change at 3-month follow-up. The present study reports the long-term outcomes of that trial (N = 28. Twelve out of 28 participants (43% completed the 12 month follow-up. A large within-group effect size was found on the YBOCS-SR (d = 1.08 and 33% met criteria for clinically significant change at 12-month follow-up. No significant changes in symptoms were found between 3-month follow-up and 12-month follow-up, demonstrating that participants maintained their treatment gains in the long term. These results add to the emerging literature supporting the potential of self-guided iCBT for individuals with symptoms of OCD.

  16. A Randomized Controlled Trial of Cognitive Behavioral Therapy (CBT) for Adjusting to Multiple Sclerosis (The saMS Trial): Does CBT Work and for Whom Does It Work?

    Science.gov (United States)

    Moss-Morris, Rona; Dennison, Laura; Landau, Sabine; Yardley, Lucy; Silber, Eli; Chalder, Trudie

    2013-01-01

    Objective: The aims were (a) to test the effectiveness of a nurse-led cognitive behavioral therapy (CBT) program to assist adjustment in the early stages of multiple sclerosis (MS) and (b) to determine moderators of treatment including baseline distress, social support (SS), and treatment preference. Method: Ninety-four ambulatory people with MS…

  17. Explaining public unease about nuclear technology and some ways towards effective communication

    International Nuclear Information System (INIS)

    Vlek, Charles

    1998-01-01

    The nuclear industry suffers from public acceptance problems. But it does have high safety standards? Aren't its services useful to society? Do not nuclear accident rates compare favourably with those in road traffic or the building industry? Cannot radioactive waste be managed quite properly? And aren't there effective plans for the dismantling of outdated reactors? How could this public unwillingness be understood? And what should and could be done about it? This paper by a decision-psychologist is (mostly) about people's perception of risk, the acceptability of risky activities or situations, the need for public participation in decision making about technical projects, and the broad meaning of risk communication. Much of the relevant research was inspired by debates, both political and scientific, about the safety and the desirability of expanding the use of nuclear power. In The Netherlands this was highlighted during the Societal Discussion on future (nuclear) Energy Policy 1981-1983), but debates on the issue continued with some shift of emphasis in the direction of radioactive waste management. The newest item on the Dutch public agenda is the dismantling of outdated nuclear power stations ('better now, or after 40 years?'). For an impression of public concern during the 1980s, here is a short list of perceived risks - however small - of using nuclear technology. Direct risks are: diffusion of radioactive ore near uranium mines, accidents during uranium enrichment, releases of radioactive steam from reactors, leakage of cooling systems, production, transport, storage of radioactive waste, radioactive materials from dismantling of reactors, proliferation of materials for nuclear arms. Indirect risks are: underestimated costs of reactor construction, operation; centralisation of control over electricity production; excessive safety policies (high financial and societal costs); increasing incompetence of nonspecialists in electricity generation; costs of

  18. Public policy and clean technology promotion. The synergy between environmental economics and evolutionary economics of technological change

    Energy Technology Data Exchange (ETDEWEB)

    Rio Gonzalez, Pablo del [Universidad de Castilla-La Mancha, Toledo (Spain). Facultad de Ciencias Juridicas y Sociales de Toledo

    2004-07-01

    Obstacles to clean technology development, innovation and diffusion are not only related to the lack of internalisation of environmental externalities in production costs, as defended by traditional environmental economics. Empirical studies show that many other obstacles prevent these technologies from penetrating the market. The relevance of these obstacles differs between sectors, firms and technologies. Consequently, a more focused approach is proposed. By taking a look at the specific, real-world barriers to clean technologies, a policy framework as well as some specific measures that target those barriers are suggested. These instruments are useful and complementary in a policy framework that, in addition to specific instruments, takes into account the influence of the style of regulation and the configuration of actors in the environmental technological change process. This paper proposes a coherent framework integrating environmental policy and technology policy instruments. This is deemed necessary in the technological transition to sustainable development. (author)

  19. Should there be a female age limit on public funding for assisted reproductive technology?

    Science.gov (United States)

    Carter, Drew; Watt, Amber M; Braunack-Mayer, Annette; Elshaug, Adam G; Moss, John R; Hiller, Janet E

    2013-03-01

    Should there be a female age limit on public funding for assisted reproductive technology (ART)? The question bears significant economic and sociopolitical implications and has been contentious in many countries. We conceptualise the question as one of justice in resource allocation, using three much-debated substantive principles of justice-the capacity to benefit, personal responsibility, and need-to structure and then explore a complex of arguments. Capacity-to-benefit arguments are not decisive: There are no clear cost-effectiveness grounds to restrict funding to those older women who still bear some capacity to benefit from ART. Personal responsibility arguments are challenged by structural determinants of delayed motherhood. Nor are need arguments decisive: They can speak either for or against a female age limit, depending on the conception of need used. We demonstrate how these principles can differ not only in content but also in the relative importance they are accorded by governments. Wide variation in ART public funding policy might be better understood in this light. We conclude with some inter-country comparison. New Zealand and Swedish policies are uncommonly transparent and thus demonstrate particularly well how the arguments we explore have been put into practice.

  20. The link between information and communication technologies and global public health: pushing forward.

    Science.gov (United States)

    Cabieses, Baltica; Faba, Gladys; Espinoza, Manuel; Santorelli, Gillian

    2013-11-01

    .Global public health (GPH) continues to be a challenging field. It focuses on health-related issues that transcend national boundaries and thus requires global cooperation for implementing solutions to public health problems. Information and communication technologies (ICTs) have the potential to contribute to GPH by improving the quality of healthcare services. The purpose of this commentary article is to discuss the nature and characteristics of the existing link between ICTs and GPH. The key underlying questions discussed in this article are (a) whether ICTs can truly reduce the burden of current GPH problems and (b) how to effectively achieve it. We selected three widely recognized GPH challenges: diarrheal disease among children under 5 years old, malaria, and type 2 diabetes mellitus. These are considered to be examples of salient global issues that, despite the availability of cost-effective preventive and therapeutic interventions, still remain a major burden of morbidity and mortality worldwide. We conclude that there is a growing global interest in ICT-related solutions in GPH. We recommend the development of more transparent frameworks, more theory-informed solutions, and clearer translational links between ICTs and GPH matters. Ten further specific recommendations are also discussed in this article.

  1. School of Public Health of Mexico: Educational and technological innovation in the new millennium

    Directory of Open Access Journals (Sweden)

    Laura Magaña-Valladares

    2014-11-01

    Full Text Available This article was conceived to analyze the work of the School of Public Health of Mexico (ESPM for is acronym in Spanish from the year 2000 to the present day. One of the highlights that we will examine is the reorientation of the educational work of the school in order to meet the challenges in health and education that emerged during the end of the twentieth century. In order to explain the evolution of this process, we will describe the three main guiding principles that characterize the present work of the school: the pedagogical model´s change, the incorporation of the information and communication technologies, and the professionalization in teaching. The purpose of this work is to define those guiding principles, and to expose, through the contrast between past and present, the complete history of uninterrupted work of the School of Public Health of Mexico during its ninety-two years of existence, that has gone beyond the boundaries of the country.

  2. The appeal to nature implicit in certain restrictions on public funding for assisted reproductive technology.

    Science.gov (United States)

    Carter, Drew; Braunack-Mayer, Annette

    2011-10-01

    Certain restrictions on public funding for assisted reproductive technology (ART) are articulated and defended by recourse to a distinction between medical infertility and social infertility. We propose that underlying the prioritization of medical infertility is a vision of medicine whose proper role is to restore but not to improve upon nature. We go on to mark moral responses that speak of investments many continue to make in nature as properly an object of reverence and gratitude and therein (sometimes) a source of moral guidance. We draw on the work of Ludwig Wittgenstein in arguing for the plausibility of an appeal to nature in opposition to the charge that it must contain a logical fallacy. We also invite consideration of the moral plausibility of some appeal to nature. Finally, we examine what follows in the case of ART. Should medicine respect as natural limits that should not be overcome: the need for a man and a woman in reproduction; menopause; and even declining fertility with age? We must first ask ourselves to what degree we should defer to nature in the conduct of medicine, at least in the particular if not the general case. This will involve also asking ourselves what we think is natural and in what instances and spirit might we defy nature. Divergent opinions and policies concerning who should receive ART treatment and public funding are more easily understood in view of the centrality, complexity and fundamental nature of these questions. © 2011 Blackwell Publishing Ltd.

  3. Implementing new technologies for public safety communication: competing frequency demands and standardization issues

    Science.gov (United States)

    Stevens, Kathryn J.

    1997-01-01

    Attempting to incorporate new technology into an existing environment is often very difficult. The problems are lengthy to resolve, wrought with confusion and seldom turn out like anyone expected. This document represents an overview of one such attempt. It outlines the general areas of concern which could be affected by a transition, and potential problems that may be encountered as a result of the effort. Over the past several decades, many local, state and federal agencies are pressing for more efficient use of frequency spectrums. The urgency of this issue has grown due to the demands of several groups wanting access to these channels for commercial use. Pager systems, cellular telephones, radio systems for private businesses all demand more space. Public safety agencies are starting to fear their needs will diminish in importance as the available channel spectrums are consumed by commercial ventures. How to share these channels, purchase appropriate equipment to meet your needs, and stay within a reasonable budget are not easy tasks. Public safety agencies who rely on communication networks in the performance of their jobs also know why encryption is important. Protecting the rights of citizens as police exchange information over the air, maintaining the integrity of an investigation and officer safety are all concerns police must address each time they use a radio.

  4. Adult Attachment as a Moderator of Treatment Outcome for Generalized Anxiety Disorder: Comparison Between Cognitive–Behavioral Therapy (CBT) Plus Supportive Listening and CBT Plus Interpersonal and Emotional Processing Therapy

    Science.gov (United States)

    Newman, Michelle G.; Castonguay, Louis G.; Jacobson, Nicholas C.; Moore, Ginger A.

    2016-01-01

    Objective To determine whether baseline dimensions of adult insecure attachment (avoidant and anxious) moderated outcome in a secondary analysis of a randomized controlled trial comparing cognitive–behavioral therapy (CBT) plus supportive listening (CBT + SL) versus CBT plus interpersonal and emotional processing therapy (CBT + I/EP). Method Eighty-three participants diagnosed with generalized anxiety disorder (GAD) were recruited from the community and assigned randomly to CBT + SL (n = 40) or to CBT + I/EP (n = 43) within a study using an additive design. PhD-level psychologists treated participants. Blind assessors evaluated participants at pretreatment, posttreatment, 6-month, 12-month, and 2-year follow-up with a composite of self-report and assessor-rated GAD symptom measures (Penn State Worry Questionnaire, Hamilton Anxiety Rating Scale, Clinician’s Severity Rating). Avoidant and anxious attachment were assessed using self-reported dismissing and angry states of mind, respectively, on the Perceptions of Adult Attachment Questionnaire. Results Consistent with our prediction, at all assessments higher levels of dismissing styles in those who received CBT + I/EP predicted greater change in GAD symptoms compared with those who received CBT + SL for whom dismissiveness was unrelated to the change. At postassessment, higher angry attachment was associated with less change in GAD symptoms for those receiving CBT + I/EP, compared with CBT + SL, for whom anger was unrelated to change in GAD symptoms. Pretreatment attachment-related anger failed to moderate outcome at other time points and therefore, these moderation effects were more short-lived than the ones for dismissing attachment. Conclusions When compared with CBT + SL, CBT + I/EP may be better for individuals with GAD who have relatively higher dismissing styles of attachment. PMID:26052875

  5. Adult attachment as a moderator of treatment outcome for generalized anxiety disorder: Comparison between cognitive-behavioral therapy (CBT) plus supportive listening and CBT plus interpersonal and emotional processing therapy.

    Science.gov (United States)

    Newman, Michelle G; Castonguay, Louis G; Jacobson, Nicholas C; Moore, Ginger A

    2015-10-01

    To determine whether baseline dimensions of adult insecure attachment (avoidant and anxious) moderated outcome in a secondary analysis of a randomized controlled trial comparing cognitive-behavioral therapy (CBT) plus supportive listening (CBT + SL) versus CBT plus interpersonal and emotional processing therapy (CBT + I/EP). Eighty-three participants diagnosed with generalized anxiety disorder (GAD) were recruited from the community and assigned randomly to CBT + SL (n = 40) or to CBT + I/EP (n = 43) within a study using an additive design. PhD-level psychologists treated participants. Blind assessors evaluated participants at pretreatment, posttreatment, 6-month, 12-month, and 2-year follow-up with a composite of self-report and assessor-rated GAD symptom measures (Penn State Worry Questionnaire, Hamilton Anxiety Rating Scale, Clinician's Severity Rating). Avoidant and anxious attachment were assessed using self-reported dismissing and angry states of mind, respectively, on the Perceptions of Adult Attachment Questionnaire. Consistent with our prediction, at all assessments higher levels of dismissing styles in those who received CBT + I/EP predicted greater change in GAD symptoms compared with those who received CBT + SL for whom dismissiveness was unrelated to the change. At postassessment, higher angry attachment was associated with less change in GAD symptoms for those receiving CBT + I/EP, compared with CBT + SL, for whom anger was unrelated to change in GAD symptoms. Pretreatment attachment-related anger failed to moderate outcome at other time points and therefore, these moderation effects were more short-lived than the ones for dismissing attachment. When compared with CBT + SL, CBT + I/EP may be better for individuals with GAD who have relatively higher dismissing styles of attachment. (c) 2015 APA, all rights reserved).

  6. Financing end-use solar technologies in a restructured electricity industry: Comparing the cost of public policies

    International Nuclear Information System (INIS)

    Jones, E.; Eto, J.

    1997-09-01

    Renewable energy technologies are capital intensive. Successful public policies for promoting renewable energy must address the significant resources needed to finance them. Public policies to support financing for renewable energy technologies must pay special attention to interactions with federal, state, and local taxes. These interactions are important because they can dramatically increase or decrease the effectiveness of a policy, and they determine the total cost of a policy to society as a whole. This report describes a comparative analysis of the cost of public policies to support financing for two end-use solar technologies: residential solar domestic hot water heating (SDHW) and residential rooftop photovoltaic (PV) systems. The analysis focuses on the cost of the technologies under five different ownership and financing scenarios. Four scenarios involve leasing the technologies to homeowners in return for a payment that is determined by the financing requirements of each form of ownership. For each scenario, the authors examine nine public policies that might be used to lower the cost of these technologies: investment tax credits (federal and state), production tax credits (federal and state), production incentives, low-interest loans, grants (taxable and two types of nontaxable), direct customer payments, property and sales tax reductions, and accelerated depreciation

  7. The feelings club: randomized controlled evaluation of school-based CBT for anxious or depressive symptoms.

    Science.gov (United States)

    Manassis, Katharina; Wilansky-Traynor, Pamela; Farzan, Nas; Kleiman, Valery; Parker, Kevin; Sanford, Mark

    2010-10-01

    Children with anxious or depressive symptoms are at risk of developing internalizing disorders and their attendant morbidity. To prevent these outcomes, school-based cognitive-behavioral therapy (CBT) has been developed, but few studies include active control conditions. We evaluated a preventive CBT program targeting internalizing symptoms relative to an activity contrast condition post-intervention and at 1-year follow-up. One thousand one hundred and thirty-nine children from Grades 3-6 from a diverse sample of schools, were screened with the Multidimensional Anxiety Scale for Children and Children's Depression Inventory. Those with t>60 on either measure were offered participation in a randomized 12-week trial, school-based group CBT versus a structured after-school activity group of equal duration. We explored several therapeutic elements as potential predictors of change. One hundred and forty-eight children participated (84 boys, 64 girls; 78 CBT, 70 contrast; 57% Caucasian) and 145 completed the program. Self-reported anxious and depressive symptoms decreased significantly over time (η(2)=.15 and .133, respectively), with no group by time interaction. There was a trend toward fewer children meeting diagnostic criteria for an anxiety disorder on the Anxiety Disorders Interview Schedule at 1-year post-CBT than post-contrast (6/76 versus 12/69). Positive reinforcement of child behavior was associated with change in anxiety symptoms; checking homework was understood with change in depressive symptoms. Findings suggest that children with internalizing symptoms may benefit from both school-based CBT and structured activity programs. Replication, longer follow-up, and further studies of therapeutic elements in child CBT are indicated. ISRCTN Registry identifier: ISRCTN88858028, url: http://www.controlled-trials.com/. Depression and Anxiety, 2010. © 2010 Wiley-Liss, Inc.

  8. Types of parental involvement in CBT with anxious youth: a preliminary meta-analysis.

    Science.gov (United States)

    Manassis, Katharina; Lee, Trevor Changgun; Bennett, Kathryn; Zhao, Xiu Yan; Mendlowitz, Sandra; Duda, Stephanie; Saini, Michael; Wilansky, Pamela; Baer, Susan; Barrett, Paula; Bodden, Denise; Cobham, Vanessa E; Dadds, Mark R; Flannery-Schroeder, Ellen; Ginsburg, Golda; Heyne, David; Hudson, Jennifer L; Kendall, Philip C; Liber, Juliette; Masia-Warner, Carrie; Nauta, Maaike H; Rapee, Ronald M; Silverman, Wendy; Siqueland, Lynne; Spence, Susan H; Utens, Elisabeth; Wood, Jeffrey J

    2014-12-01

    Meta-analytic studies have not confirmed that involving parents in cognitive behavior therapy (CBT) for anxious children is therapeutically beneficial. There is also great heterogeneity in the type of parental involvement included. We investigated parental involvement focused on contingency management (CM) and transfer of control (TC) as a potential outcome moderator using a meta-analysis with individual patient data. Investigators of randomized controlled trials (RCTs) of CBT for anxious children, identified systematically, were invited to submit their data. Conditions in each RCT were coded based on type of parental involvement in CBT (i.e., low involvement, active involvement without emphasis on CM or TC, active involvement with emphasis on CM or TC). Treatment outcomes were compared using a 1-stage meta-analysis. All cases involved in active treatment (894 of 1,618) were included for subgroup analyses. Across all CBT groups, means of clinical severity, anxiety, and internalizing symptoms significantly decreased posttreatment and were comparable across groups. The group without emphasis on CM or TC showed a higher proportion with posttreatment anxiety diagnoses than the low-involvement group. Between posttreatment and 1-year follow-up, the proportion with anxiety diagnoses significantly decreased in CBT with active parental involvement with emphasis on CM or TC, whereas treatment gains were merely maintained in the other 2 groups. CBT for anxious children is an effective treatment with or without active parental involvement. However, CBT with active parental involvement emphasizing CM or TC may support long-term maintenance of treatment gains. RESULTS should be replicated as additional RCTs are published.

  9. Sequential treatment with fluoxetine and relapse--prevention CBT to improve outcomes in pediatric depression.

    Science.gov (United States)

    Kennard, Betsy D; Emslie, Graham J; Mayes, Taryn L; Nakonezny, Paul A; Jones, Jessica M; Foxwell, Aleksandra A; King, Jessica

    2014-10-01

    The authors evaluated a sequential treatment strategy of fluoxetine and relapse-prevention cognitive-behavioral therapy (CBT) to determine effects on remission and relapse in youths with major depressive disorder. Youths 8-17 years of age with major depression were treated openly with fluoxetine for 6 weeks. Those with an adequate response (defined as a reduction of 50% or more on the Children's Depression Rating Scale-Revised [CDRS-R]) were randomly assigned to receive continued medication management alone or continued medication management plus CBT for an additional 6 months. The CBT was modified to address residual symptoms and was supplemented by well-being therapy. Primary outcome measures were time to remission (with remission defined as a CDRS-R score of 28 or less) and rate of relapse (with relapse defined as either a CDRS-R score of 40 or more with a history of 2 weeks of symptom worsening, or clinical deterioration). Of the 200 participants enrolled in acute-phase treatment, 144 were assigned to continuation treatment with medication management alone (N=69) or medication management plus CBT (N=75). During the 30-week continuation treatment period, time to remission did not differ significantly between treatment groups (hazard ratio=1.26, 95% CI=0.87, 1.82). However, the medication management plus CBT group had a significantly lower risk of relapse than the medication management only group (hazard ratio=0.31, 95% CI=0.13, 0.75). The estimated probability of relapse by week 30 was lower with medication management plus CBT than with medication management only (9% compared with 26.5%). Continuation-phase relapse-prevention CBT was effective in reducing the risk of relapse but not in accelerating time to remission in children and adolescents with major depressive disorder.

  10. Virtual reality cognitive-behavior therapy for public speaking anxiety: one-year follow-up.

    Science.gov (United States)

    Safir, Marilyn P; Wallach, Helene S; Bar-Zvi, Margalit

    2012-03-01

    Public speaking anxiety (PSA) is a common social phobia. Although cognitive-behavior therapy (CBT) is the treatment of choice, difficulties arise with both in vivo and in vitro exposure (lack of therapist control, patient's inability to imagine, self-flooding, and a lack of confidentiality resulting from public exposure). Virtual reality CBT (VRCBT) enables a high degree of therapist control, thus overcoming these difficulties. In a previous publication, the authors reported on their findings that VRCBT (n = 28) and CBT (n = 30) groups were significantly more effective than a wait-list control (WLC; n = 30) group in anxiety reduction on four of five anxiety measures as well as on participant's self-rating of anxiety during a behavioral task. No significant differences were found between VRCBT and CBT. However, twice as many clients dropped out of CBT (15) than from VRCBT (6). Results demonstrated that VRCBT is an effective and brief treatment regimen, equal to CBT. This brief report examined durability of these changes. They found that both VRCBT (25) and CBT (24) groups maintained their improvement from post treatment to follow-up, on all five measures. In addition, they found that the CBT group continued to improve from post treatment to follow-up on Liebowitz Social Anxiety Scale (LSAS) fear. Thus, treatment gains were maintained at a 1-year follow-up.

  11. From Natural Monopoly to Public Utility: Technological Determinism and the Political Economy of Infrastructure in Progressive-Era America.

    Science.gov (United States)

    Plaiss, Adam

    In present-day debates regarding telecommunication policy, one frequently hears the terms natural monopoly and public utility. This article investigates the origins of these ideas, finding that Richard T. Ely-a celebrated American economist of the late nineteenth century-embedded in the term "natural monopoly" a narrative of technological determinism. By arguing that certain services had monopolizing tendencies hardwired into them, Ely argued for their regulation. Ely's theory of natural monopoly formed the basis of Wisconsin's 1907 public utilities law, which served as a model for many other states' regulatory policies. The modern notion of public utility thus carries with it the technological determinism of Ely's natural monopoly idea. By tracing the lineage of these two terms, this article recaptures the influence that activists and progressive politicians exercised over the formation of large technological systems during the Second Industrial Revolution.

  12. Effectiveness of enhanced cognitive behavioral therapy (CBT-E in the treatment of anorexia nervosa: a prospective multidisciplinary study

    Directory of Open Access Journals (Sweden)

    Yngvild S. Danielsen

    2016-10-01

    Full Text Available Abstract Background Anorexia nervosa (AN is a debilitating psychiatric disorder associated with a wide array of negative health complications and psychiatric comorbidity. Existing evidence for AN treatment in adults is weak, and no empirically supported treatment has been reliably established. The primary objective of this study is to gain knowledge about the effectiveness of enhanced cognitive behavioral therapy (CBT-E for anorexia nervosa delivered in a public hospital setting. Baseline predictors of treatment outcome and dropout are studied. Furthermore, there will be collected blood and stool samples for a general biobank to be able to initiate research on possible pathophysiological mechanisms underlying AN. Methods The study will assess the potency of outpatient CBT-E in a sample of patients suffering from AN (age >16 admitted to the Section for Eating Disorders at the Department for Psychosomatic Medicine, Haukeland University Hospital in Bergen, Norway. The study has a longitudinal design with five main assessment time points: before treatment, at 3 months, at the end of treatment, at 20 weeks, and at 12 months follow-up including biobank samples. A control group without an eating disorder will also be recruited. Discussion Treatment research in a public hospital setting is important for gaining knowledge about the transportability of treatments evaluated in research clinics into ordinary clinical practice. Furthermore, biological material from the thoroughly described patient cohort will serve as a basis for further research on the pathophysiological mechanisms in AN. Trial registration ClinicalTrials.gov Identifier: NCT02745067 . Registered 14 April 2016. 

  13. Translational Science by Public Biotechnology Companies in the IPO“Class of 2000”: The Impact of Technological Maturity

    Science.gov (United States)

    McNamee, Laura; Ledley, Fred

    2013-01-01

    The biotechnology industry plays a central role in the translation of nascent biomedical science into both products that offer material health benefits and creating capital growth. This study examines the relationship between the maturity of technologies in a characteristic life cycle and value creation by biotechnology companies. We examined the core technology, product development pipelines, and capitalization for a cohort of biotechnology companies that completed an IPO in 2000. Each of these companies was well financed and had core technologies on the leading edge of biological science. We found that companies with the least mature technologies had significantly higher valuations at IPO, but failed to develop products based on these technologies over the ensuing decade, and created less capital growth than companies with more mature technologies at IPO. The observation that this cohort of recently public biotechnology companies was not effective in creating value from nascent science suggests the need for new, evidence-based business strategies for translational science. PMID:24358154

  14. Translational science by public biotechnology companies in the IPO "class of 2000": the impact of technological maturity.

    Science.gov (United States)

    McNamee, Laura; Ledley, Fred

    2013-01-01

    The biotechnology industry plays a central role in the translation of nascent biomedical science into both products that offer material health benefits and creating capital growth. This study examines the relationship between the maturity of technologies in a characteristic life cycle and value creation by biotechnology companies. We examined the core technology, product development pipelines, and capitalization for a cohort of biotechnology companies that completed an IPO in 2000. Each of these companies was well financed and had core technologies on the leading edge of biological science. We found that companies with the least mature technologies had significantly higher valuations at IPO, but failed to develop products based on these technologies over the ensuing decade, and created less capital growth than companies with more mature technologies at IPO. The observation that this cohort of recently public biotechnology companies was not effective in creating value from nascent science suggests the need for new, evidence-based business strategies for translational science.

  15. Evaluation of Two Mobile Health Apps in the Context of Smoking Cessation: Qualitative Study of Cognitive Behavioral Therapy (CBT) Versus Non-CBT-Based Digital Solutions.

    Science.gov (United States)

    Tudor-Sfetea, Carina; Rabee, Riham; Najim, Muhammad; Amin, Nima; Chadha, Mehak; Jain, Minal; Karia, Kishan; Kothari, Varun; Patel, Tejus; Suseeharan, Melanie; Ahmed, Maroof; Sherwani, Yusuf; Siddiqui, Sarim; Lin, Yuting; Eisingerich, Andreas B

    2018-04-18

    Mobile health (mHealth) apps can offer users numerous benefits, representing a feasible and acceptable means of administering health interventions such as cognitive behavioral therapy (CBT). CBT is commonly used in the treatment of mental health conditions, where it has a strong evidence base, suggesting that it represents an effective method to elicit health behavior change. More importantly, CBT has proved to be effective in smoking cessation, in the context of smoking-related costs to the National Health Service (NHS) having been estimated to be as high as £2.6bn in 2015. Although the evidence base for computerized CBT in mental health is strong, there is limited literature on its use in smoking cessation. This, combined with the cost-effectiveness of mHealth interventions, advocates a need for research into the effectiveness of CBT-based smoking cessation apps. The objective of this study was, first, to explore participants' perceptions of 2 mHealth apps, a CBT-based app, Quit Genius, and a non-CBT-based app, NHS Smokefree, over a variety of themes. Second, the study aimed to investigate the perceptions and health behavior of users of each app with respect to smoking cessation. A qualitative short-term longitudinal study was conducted, using a sample of 29 smokers allocated to one of the 2 apps, Quit Genius or Smokefree. Each user underwent 2 one-to-one semistructured interviews, 1 week apart. Thematic analysis was carried out, and important themes were identified. Descriptive statistics regarding participants' perceptions and health behavior in relation to smoking cessation are also provided. The thematic analysis resulted in five higher themes and several subthemes. Participants were generally more positive about Quit Genius's features, as well as about its design and information engagement and quality. Quit Genius users reported increased motivation to quit smoking, as well as greater willingness to continue using their allocated app after 1 week. Moreover

  16. Risk-based systems analysis for emerging technologies: Applications of a technology risk assessment model to public decision making

    International Nuclear Information System (INIS)

    Quadrel, M.J.; Fowler, K.M.; Cameron, R.; Treat, R.J.; McCormack, W.D.; Cruse, J.

    1995-01-01

    The risk-based systems analysis model was designed to establish funding priorities among competing technologies for tank waste remediation. The model addresses a gap in the Department of Energy's (DOE's) ''toolkit'' for establishing funding priorities among emerging technologies by providing disciplined risk and cost assessments of candidate technologies within the context of a complete remediation system. The model is comprised of a risk and cost assessment and a decision interface. The former assesses the potential reductions in risk and cost offered by new technology relative to the baseline risk and cost of an entire system. The latter places this critical information in context of other values articulated by decision makers and stakeholders in the DOE system. The risk assessment portion of the model is demonstrated for two candidate technologies for tank waste retrieval (arm-based mechanical retrieval -- the ''long reach arm'') and subsurface barriers (close-coupled chemical barriers). Relative changes from the base case in cost and risk are presented for these two technologies to illustrate how the model works. The model and associated software build on previous work performed for DOE's Office of Technology Development and the former Underground Storage Tank Integrated Demonstration, and complement a decision making tool presented at Waste Management 1994 for integrating technical judgements and non-technical (stakeholder) values when making technology funding decisions

  17. Internet-delivered CBT for children with specific phobia: a pilot study.

    Science.gov (United States)

    Vigerland, Sarah; Thulin, Ulrika; Ljótsson, Brjánn; Svirsky, Liv; Ost, Lars-Göran; Lindefors, Nils; Andersson, Gerhard; Serlachius, Eva

    2013-01-01

    Cognitive behavior therapy (CBT) has been shown to be an effective treatment for specific phobia in youth, but not all affected seek or receive treatment. Internet-delivered CBT could be a way to increase the availability of empirically supported treatments. An open trial was conducted to evaluate Internet-delivered CBT for children with specific phobia. Children (N = 30) aged 8-12, and their parents, with a principal diagnosis of specific phobia were recruited through media advertisement. Participants received six weeks of Internet-delivered CBT with therapist support. The treatment was aimed for the parents and the children, with the first part being only for the parents. The primary outcome measure was the Clinician Severity Rating (CSR), and secondary measures included clinician-rated global functioning and child- and parent-reported anxiety and quality of life. All assessments were made at pretreatment, posttreatment, and three-month follow-up. At posttreatment, there were significant reductions on the CSR, with a large within-group effect size (Cohen's d = 1.0) and 35% of children no longer meeting criteria for specific phobia. Self-report measures from parents and children showed significant effects on anxiety, with small to moderate effect sizes. Effects were maintained at three-month follow-up. Results show that Internet-delivered CBT with therapist support for children with specific phobia has the potential to reduce symptom severity. Randomized controlled trials are needed to further evaluate this treatment format.

  18. Transdiagnostic versus diagnosis-specific cbt for anxiety disorders: a preliminary randomized controlled noninferiority trial.

    Science.gov (United States)

    Norton, Peter J; Barrera, Terri L

    2012-10-01

    Transdiagnostic cognitive-behavioral treatments for anxiety disorders have been gaining increased attention and empirical study in recent years. Despite this, research on transdiagnostic anxiety treatments has, to date, relied on open trials, or comparisons to waitlist conditions, published benchmarks, or relaxation-based interventions. The current study was a randomized clinical trial examining the efficacy of a 12-week transdiagnostic cognitive-behavioral group treatment in comparison to 12-week diagnosis-specific group Cognitive-Behavioral Therapy (CBT) protocols for panic disorder, social anxiety disorder, and generalized anxiety disorder. Results from 46 treatment initiators suggested significant improvement during treatment, strong evidence for treatment equivalence across transdiagnostic and diagnosis-specific CBT conditions, and no differences in treatment credibility. This study provides evidence supporting the efficacy of transdiagnostic CBT by comparison to current gold-standard diagnosis-specific CBT for social anxiety disorder, generalized anxiety disorder, and panic disorder. Transdiagnostic group CBT has the benefit of potentially easing dissemination and increasing access to evidence-based treatments for anxiety without sacrificing efficacy. © 2012 Wiley Periodicals, Inc.

  19. The feasibility and effectiveness of Catch It, an innovative CBT smartphone app.

    Science.gov (United States)

    Kinderman, Peter; Hagan, Paul; King, Sophie; Bowman, James; Chahal, Jasprit; Gan, Li; McKnight, Rebecca; Waldon, Charlotte; Smith, Matthew; Gilbertson, John; Tai, Sara

    2016-05-01

    The widespread use of smartphones makes effective therapies such as cognitive-behavioural therapy (CBT) potentially accessible to large numbers of people. This paper reports the usage data of the first trial of Catch It, a new CBT smartphone app. Uptake and usage rates, fidelity of user responses to CBT principles, and impact on reported negative and positive moods were assessed. A relatively modest proportion of people chose to download the app. Once used, the app tended to be used more than once, and 84% of the user-generated content was consistent with the basic concepts of CBT. There were statistically significant reductions in negative mood intensity and increases in positive mood intensity. Smartphone apps have potential beneficial effects in mental health through the application of basic CBT principles. More research with randomised controlled trial designs should be conducted. None. © The Royal College of Psychiatrists 2016. This is an open access article distributed under the terms of the Creative Commons Non-Commercial, No Derivatives (CC BY-NC-ND) licence.

  20. Effectiveness of Group Cognitive Behavioral Therapy for Insomnia (CBT-I) in a Primary Care Setting.

    Science.gov (United States)

    Davidson, Judith R; Dawson, Samantha; Krsmanovic, Adrijana

    2017-05-02

    Primary care is where many patients with insomnia first ask for professional help. Cognitive-behavioral therapy for insomnia (CBT-I) is the recommended treatment for chronic insomnia. Although CBT-I's efficacy is well established, its effectiveness in real-life primary care has seldom been investigated. We examined the effectiveness of CBT-I as routinely delivered in a Canadian primary care setting. The patients were 70 women and 11 men (mean age = 57.0 years, SD = 12.3); 83% had medical comorbidity. For the first 81 patients who took the six-session group program we compared initial and postprogram sleep diaries, sleep medication use, Insomnia Severity Index (ISI), the Hospital Anxiety and Depression Scale (HADS), and visits to the family physician. Sleep onset latency, wake after sleep onset, total sleep time, sleep efficiency, and ISI scores improved significantly (p 7). Wait-list data from 42 patients showed minimal sleep and mood improvements with the passage of time. Number of visits to the family physician six months postprogram decreased, although not significantly (p = .108). The CBT-I program was associated with improvement on all sleep and mood measures. Effect sizes were similar to, or larger than, those found in randomized controlled trials, demonstrating the real-world effectiveness of CBT-I in an interdisciplinary primary care setting.

  1. Effectiveness of a CBT Intervention for Persistent Insomnia and Hypnotic Dependency in an Outpatient Psychiatry Clinic.

    Science.gov (United States)

    Taylor, Hannah Lund; Rybarczyk, Bruce D; Nay, William; Leszczyszyn, David

    2015-07-01

    To test cognitive-behavioral therapy for insomnia (CBT-I) in patients who not only receive psychiatric treatment in a outpatient psychiatry clinic but also continue to experience chronic insomnia despite receiving pharmacological treatment for sleep. CBT-I included an optional module for discontinuing hypnotic medications. Patients were randomized to 5 sessions of individual CBT-I (n = 13) or treatment as usual (n = 10). Sleep parameters were assessed using sleep diaries at pre- and posttreatment. Questionnaires measuring depression, anxiety, and health-related quality of life were also administered. CBT-I was associated with significant improvement in sleep, with 46% obtaining normal global sleep ratings after treatment. However, no changes in secondary outcomes (depression, anxiety, quality of life) were obtained and no patients elected to discontinue their hypnotic medications. Patients with complex, chronic psychiatric conditions can obtain sleep improvements with CBT-I beyond those obtained with pharmacotherapy alone; however, sleep interventions alone may not have the same effect on mental health outcomes in samples with more severe and chronic psychiatric symptoms and dependency on hypnotic medications. © 2015 Wiley Periodicals, Inc.

  2. A Critical Review of Negative Affect and the Application of CBT for PTSD.

    Science.gov (United States)

    Brown, Wilson J; Dewey, Daniel; Bunnell, Brian E; Boyd, Stephen J; Wilkerson, Allison K; Mitchell, Melissa A; Bruce, Steven E

    2018-04-01

    Forms of cognitive and behavioral therapies (CBTs), including prolonged exposure and cognitive processing therapy, have been empirically validated as efficacious treatments for posttraumatic stress disorder (PTSD). However, the assumption that PTSD develops from dysregulated fear circuitry possesses limitations that detract from the potential efficacy of CBT approaches. An analysis of these limitations may provide insight into improvements to the CBT approach to PTSD, beginning with an examination of negative affect as an essential component to the conceptualization of PTSD and a barrier to the implementation of CBT for PTSD. As such, the literature regarding the impact of negative affect on aspects of cognition (i.e., attention, processing, memory, and emotion regulation) necessary for the successful application of CBT was systematically reviewed. Several literature databases were explored (e.g., PsychINFO and PubMed), resulting in 25 articles that met criteria for inclusion. Results of the review indicated that high negative affect generally disrupts cognitive processes, resulting in a narrowed focus on stimuli of a negative valence, increased rumination of negative autobiographical memories, inflexible preservation of initial information, difficulty considering counterfactuals, reliance on emotional reasoning, and misinterpretation of neutral or ambiguous events as negative, among others. With the aim to improve treatment efficacy of CBT for PTSD, suggestions to incorporate negative affect into research and clinical contexts are discussed.

  3. Foresight as the design technology of the future: the latest mechanisms of interaction of public authorities, business and civil companies

    OpenAIRE

    S. A. Kvitka

    2016-01-01

    The article examines theoretical approaches to technology foresight and the possibility of its use to strengthen the cooperation of public authorities, business structures and public institutions on the design of the future and joint action to achieve it.. The definition of the formats and mechanisms of strategic forecasting is a relevant topic for Ukraine in terms of structural socio-political and socio-economic crisis. The author pays special attention to the possibilities of combining effo...

  4. Laser technology: foreign language translations from the joint publications research service. (Latest citations from the NTIS data base). Published Search

    Energy Technology Data Exchange (ETDEWEB)

    1992-06-01

    The bibliography contains citations concerning laser technology translated from foreign language (non-English) publications. Laser cavities, laser output, laser pumping, laser mode locking, and laser tuning are among the topics discussed. The citations examine laser technology in applications such as the identification of meteorological objects; holography; instruments for spacecraft, communications, target acquisition, and positioning; and materials processing. (Contains a minimum of 241 citations and includes a subject term index and title list.)

  5. Public opinion regarding utilization of assisted reproductive technology (ART) in obese women.

    Science.gov (United States)

    Shah, Divya K; Ginsburg, Elizabeth S; Correia, Katharine F; Barton, Sara E; Missmer, Stacey A

    2013-11-01

    There have been calls to restrict access to fertility treatment in women above a certain body mass index (BMI). It is important to consider public expectations before formulating policy. The study objective was to assess public opinion regarding provision of assisted reproductive technology (ART) to obese (BMI>30 kg/m(2)) women in the United States. The study was conducted through an Internet-based survey of U.S. residents ages 18-75. Multivariate odds ratios (ORs) and 95% confidence intervals (CIs) were calculated using unconditional logistic regression to describe predictors of response based on demographic characteristics. Of the 1049 respondents, 60.7% support the use of ART in obese women. Adjusting for age and gender, the odds of support were over twice as high in participants with BMI>40 kg/m(2) as in normal-weight respondents (OR=2.87, 95% CI=1.28-6.44). Fifty-five percent of participants supported a BMI limit for access to ART. Both increasing education (p-value=0.02) and BMI (p-value=0.01) were inversely associated with support of a BMI limit. Individuals who had themselves used ART were also less likely (OR=0.27, 95% CI=0.07--0.99) to support a BMI limit. In an Internet-based survey, participants who are in favor of ART are likely to support its use among obese women. More than 50% of these respondents also support implementation of a BMI limit for access to these services.

  6. What predicts outcome, response, and drop-out in CBT of depressive adults? a naturalistic study.

    Science.gov (United States)

    Schindler, Amrei; Hiller, Wolfgang; Witthöft, Michael

    2013-05-01

    The efficacy of CBT for unipolar depressive disorders is well established, yet not all patients improve or tolerate treatment. To identify factors associated with symptomatic outcome, response, and drop-out in depressive patients under naturalistic CBT. 193 patients with major depression or dysthymia were tested. Sociodemographic and clinical variables were entered as predictors in hierarchical regression analyses. A higher degree of pretreatment depression, early improvement, and completion of therapy were identified as predictors for symptomatic change and response. Drop-out was predicted by concurrent personality disorder, less positive outcome expectancies, and by failure to improve early in treatment. Our results highlight the importance of early response to predict improvement in routine CBT. Attempts to refine the quality of treatment programs should focus on avoiding premature termination (drop-out) and consider motivational factors in more depth. Routinely administered standardized assessments would enhance symptom monitoring and help to identify persons at risk of not improving under therapy.

  7. Effects of Cognitive-Behavioral Therapy (CBT) on Brain Connectivity Supporting Catastrophizing in Fibromyalgia.

    Science.gov (United States)

    Lazaridou, Asimina; Kim, Jieun; Cahalan, Christine M; Loggia, Marco L; Franceschelli, Olivia; Berna, Chantal; Schur, Peter; Napadow, Vitaly; Edwards, Robert R

    2017-03-01

    Fibromyalgia (FM) is a chronic, common pain disorder characterized by hyperalgesia. A key mechanism by which cognitive-behavioral therapy (CBT) fosters improvement in pain outcomes is via reductions in hyperalgesia and pain-related catastrophizing, a dysfunctional set of cognitive-emotional processes. However, the neural underpinnings of these CBT effects are unclear. Our aim was to assess CBT's effects on the brain circuitry underlying hyperalgesia in FM patients, and to explore the role of treatment-associated reduction in catastrophizing as a contributor to normalization of pain-relevant brain circuitry and clinical improvement. In total, 16 high-catastrophizing FM patients were enrolled in the study and randomized to 4 weeks of individual treatment with either CBT or a Fibromyalgia Education (control) condition. Resting state functional magnetic resonance imaging scans evaluated functional connectivity between key pain-processing brain regions at baseline and posttreatment. Clinical outcomes were assessed at baseline, posttreatment, and 6-month follow-up. Catastrophizing correlated with increased resting state functional connectivity between S1 and anterior insula. The CBT group showed larger reductions (compared with the education group) in catastrophizing at posttreatment (PCBT produced significant reductions in both pain and catastrophizing at the 6-month follow-up (PCBT group also showed reduced resting state connectivity between S1 and anterior/medial insula at posttreatment; these reductions in resting state connectivity were associated with concurrent treatment-related reductions in catastrophizing. The results add to the growing support for the clinically important associations between S1-insula connectivity, clinical pain, and catastrophizing, and suggest that CBT may, in part via reductions in catastrophizing, help to normalize pain-related brain responses in FM.

  8. Culturally Adapted Transdiagnostic CBT for SSRI-Resistant Turkish Adolescents: A Pilot Study.

    Science.gov (United States)

    Acarturk, Z Ceren; Abuhamdeh, Sami; Jalal, Baland; Unaldı, Nurdan; Alyanak, Behiye; Cetinkaya, Mustafa; Gulen, Birgul; Hinton, Devon

    2018-01-18

    The most common mental health problems among adolescents are anxiety and mood disorders. While disorder-specific cognitive behavior therapy (CBT) is effective for each of these conditions, the comorbidity between anxiety and mood disorders indicates a need for the development of evidence-based transdiagnostic treatments. To examine the efficacy of culturally adapted transdiagnostic CBT (CA-CBT) in reducing symptoms of anxiety and depression in treatment-resistant Turkish adolescents, 13 adolescent participants with anxiety or mood disorders who were treatment resistant received 10 sessions of CA-CBT in group format. The main outcome measures were the Screen for Childhood Child Anxiety Related Disorders (SCARED), Beck Depression Inventory (BDI), and the Turkish Symptom and Syndrome Addendum (TSSA), which were assessed at baseline, posttreatment, and at 2-month follow-up. At posttreatment, there were large effect sizes for all measures: depression scores (BDI, d = .9), anxiety scores (SCARED, d = 1.1), and the Turkish Symptom and Syndrome Addendum (TSSA, d = 1.6). Moreover, at 2-month follow-up, depression and anxiety symptoms were either maintained or continued to improve such that from pretreatment to follow-up the effect sizes were as follows: depression scores (BDI, d = 1.4), anxiety scores (SCARED, d = 1.7), and the Turkish Symptom and Syndrome Addendum (TSSA, d = 2.4). In addition, there were no dropouts across treatment. This open trial suggests that CA-CBT is effective in reducing anxiety and depression symptoms and that the treatment is well accepted. A full randomized controlled trial to verify the effectiveness of transdiagnostic CA-CBT in similar populations is needed. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

  9. CBT for anxiety disorders in children with and without autism spectrum disorders.

    Science.gov (United States)

    van Steensel, F J A; Bögels, S M

    2015-06-01

    The effectiveness of cognitive-behavioral therapy (CBT) for anxiety disorders in children with autism spectrum disorders (ASD) was examined, and compared with children without ASD. Children with ASD and comorbid anxiety disorders (n = 79, 58 boys; Mage = 11.76) and children with anxiety disorders (n = 95, 46 boys; Mage = 12.85), and their parents, participated. All families were referred to 1 of 7 mental health care centers and received the same CBT. Anxiety, quality of life, ASD-like behaviors, and emotional-behavioral problems were measured at waitlist (ASD-group only, n = 17), pretest, posttest, and 3 months, 1 year, and 2 years after CBT. CBT was more effective than waitlist for treating anxiety disorders (d = -1.45) and anxiety symptoms (d = -0.48) in children with ASD. At 2 years follow-up, 61% of the children with and 64% without ASD were free of their primary anxiety disorder (percentages not significantly different). The decrease in severity of anxiety disorders after CBT (d values ranging between -1.05 and -1.46) was not different for children with and without ASD. Improvements were less in children with ASD for (only) 2 out of 7 continuous outcomes measures: anxiety symptoms (d values ranging between -0.68 and -0.94 vs. d values ranging between -0.98 and -1.25) and quality of life (d values ranging between 0.39 and 0.56 vs. d values ranging between 0.77 and 0.98). CBT for anxiety disorders is effective for children with ASD, also in the long-term. Treatment gains may be somewhat less compared with children without ASD. (c) 2015 APA, all rights reserved).

  10. The Art and Skill of Delivering Culturally Responsive TF-CBT in Tanzania and Kenya

    Science.gov (United States)

    Kava, Christine M.; Akiba, Christopher F.; Lucid, Leah; Dorsey, Shannon

    2016-01-01

    Objective This study explored the facilitators, barriers, and strategies used to deliver a child mental health evidence-based treatment (EBT), trauma-focused cognitive behavioral therapy (TF-CBT), in a culturally responsive manner. In low- and middle-income countries most individuals with mental health problems do not receive treatment due to a shortage of mental health professionals. One approach to addressing this problem is task-sharing, in which lay counselors are trained to deliver mental health treatment. Combining this approach with a focus on EBT provides a strategy for bridging the mental health treatment gap. However, little is known how about western-developed EBTs are delivered in a culturally responsive manner. Method Semistructured qualitative interviews were conducted with 12 TF-CBT lay counselors involved in a large randomized controlled trial of TF-CBT in Kenya and Tanzania. An inductive approach was used to analyze the data. Results Lay counselors described the importance of being responsive to TF-CBT participants’ customs, beliefs, and socioeconomic conditions and highlighted the value of TF-CBT for their community. They also discussed the importance of partnering with other organizations to address unmet socioeconomic needs. Conclusion The findings from this study provide support for the acceptability and appropriateness of TF-CBT as a treatment approach for improving child mental health. Having a better understanding of the strategies used by lay counselors to ensure that treatment is relevant to the cultural and socioeconomic context of participants can help to inform the implementation of future EBTs. PMID:27414470

  11. DOE role in support of a small-scale appropriately distributed technology. Official transcript of public briefing and addendum

    Energy Technology Data Exchange (ETDEWEB)

    None

    1978-08-01

    This report first lists 94 questions raised relative to the DOE public briefing on appropriate technology. The keynote speaker was John O'Leary who gave some perceptions of the future. The introductory speech was given by Phillip S. Hughes. Panel members from DOE who provided answers to the questions were: Maxine Savitz, John Deutch, Robert Thorne, and Donald Beattie. (MCW)

  12. The changing face of public support for hydrogen technology explaining declining support among the Dutch (2008-2013)

    NARCIS (Netherlands)

    Achterberg, P.H.J.

    2014-01-01

    The public acceptance of hydrogen technology has been the topic of many social-scientific studies. Whereas most of these studies rely on cross-sectional survey data, this paper analyses pooled data from representative surveys done in 2008 and in 2013, enabling to investigate whether and how exactly

  13. Gender Equality in Public Higher Education Institutions of Ethiopia: The Case of Science, Technology, Engineering, and Mathematics

    Science.gov (United States)

    Egne, Robsan Margo

    2014-01-01

    Ensuring gender equality in higher education system is high on the agenda worldwide particularly in science disciplines. This study explores the problems and prospects of gender equality in public higher education institutions of Ethiopia, especially in science, technology, engineering, and mathematics. Descriptive survey and analytical research…

  14. Information and Communication Technologies (ICT) and Their Relation to Academic Results Indicators in State Public Universities in Mexico

    Science.gov (United States)

    Arcos-Vega, José L.; Ramiro Marentes, Fabiola; Algravez Uranga, Juan J.

    2017-01-01

    We present an analysis regarding Information and Communication Technologies (ICT) and their relation with indicators of academic results in bachelor's degree programs offered in state public universities in Mexico. This work is non experimental, cross-sectional, and correlational. The goal is to determine significant relations between variables:…

  15. Cognitive Behavior Therapies (CBT in Childhood and Adolescent Mood Disorders and Anxiety Disorders: A Review

    Directory of Open Access Journals (Sweden)

    Nilgün Öngider

    2014-08-01

    Currently, there are different treatment options like computer-assisted cognitive behavioral therapy, computer-based cognitive behavioral therapy and also, internet-based CBT. However, preliminary evidence suggests that computerised cognitive behaviour therapies (cCBT, are acceptable and effective interventions for children and adolescents. In this study is to review not only the effectiveness of cognitive behaviour treatments of depression and anxiety in children and adolescents but also the tecniques which have been used and their effects on the course and the treatments. [JCBPR 2014; 3(2.000: 99-108

  16. The effect of parental involvement in CBT of anxious children: Preliminary results from a RCT study

    DEFF Research Database (Denmark)

    Esbjørn, Barbara Hoff; Breinholst, Sonja; Reinholdt-Dunne, Marie Louise

    2011-01-01

    Esbjørn, B. H., Breinholst, S., Reinholdt-Dunne, M. L., & Leth, I. (2011). The effect of parental involvement in CBT of anxious children: Preliminary results from a RCT study. Poster accepted for the Association for Behavioral and Cognitive Therapies, Toronto, Canada.......Esbjørn, B. H., Breinholst, S., Reinholdt-Dunne, M. L., & Leth, I. (2011). The effect of parental involvement in CBT of anxious children: Preliminary results from a RCT study. Poster accepted for the Association for Behavioral and Cognitive Therapies, Toronto, Canada....

  17. Public preferences for engagement in Health Technology Assessment decision-making: protocol of a mixed methods study.

    Science.gov (United States)

    Wortley, Sally; Tong, Allison; Lancsar, Emily; Salkeld, Glenn; Howard, Kirsten

    2015-07-14

    Much attention in recent years has been given to the topic of public engagement in health technology assessment (HTA) decision-making. HTA organizations spend substantial resources and time on undertaking public engagement, and numerous studies have examined challenges and barriers to engagement in the decision-making process however uncertainty remains as to optimal methods to incorporate the views of the public in HTA decision-making. Little research has been done to ascertain whether current engagement processes align with public preferences and to what extent their desire for engagement is dependent on the question being asked by decision-makers or the characteristics of the decision. This study will examine public preferences for engagement in Australian HTA decision-making using an exploratory mixed methods design. The aims of this study are to: 1) identify characteristics about HTA decisions that are important to the public in determining whether public engagement should be undertaken on a particular topic, 2) determine which decision characteristics influence public preferences for the extent, or type of public engagement, and 3) describe reasons underpinning these preferences. Focus group participants from the general community, aged 18-70 years, will be purposively sampled from the Australian population to ensure a wide range of demographic groups. Each focus group will include a general discussion on public engagement as well as a ranking exercise using a modified nominal group technique (NGT). The NGT will inform the design of a discrete choice study to quantitatively assess public preferences for engagement in HTA decision-making. The proposed research seeks to investigate under what circumstances and how the public would like their views and preferences to be considered in health technology assessments. HTA organizations regularly make decisions about when and how public engagement should occur but without consideration of the public's preferences on

  18. Virtual Space Exploration: Let's Use Web-Based Computer Game Technology to Boost IYA 2009 Public Interest

    Science.gov (United States)

    Hussey, K.; Doronila, P.; Kulikov, A.; Lane, K.; Upchurch, P.; Howard, J.; Harvey, S.; Woodmansee, L.

    2008-09-01

    With the recent releases of both Google's "Sky" and Microsoft's "WorldWide Telescope" and the large and increasing popularity of video games, the time is now for using these tools, and those crafted at NASA's Jet Propulsion Laboratory, to engage the public in astronomy like never before. This presentation will use "Cassini at Saturn Interactive Explorer " (CASSIE) to demonstrate the power of web-based video-game engine technology in providing the public a "first-person" look at space exploration. The concept of virtual space exploration is to allow the public to "see" objects in space as if they were either riding aboard or "flying" next to an ESA/NASA spacecraft. Using this technology, people are able to immediately "look" in any direction from their virtual location in space and "zoom-in" at will. Users can position themselves near Saturn's moons and observe the Cassini Spacecraft's "encounters" as they happened. Whenever real data for their "view" exists it is incorporated into the scene. Where data is missing, a high-fidelity simulation of the view is generated to fill in the scene. The observer can also change the time of observation into the past or future. Our approach is to utilize and extend the Unity 3d game development tool, currently in use by the computer gaming industry, along with JPL mission specific telemetry and instrument data to build our virtual explorer. The potential of the application of game technology for the development of educational curricula and public engagement are huge. We believe this technology can revolutionize the way the general public and the planetary science community views ESA/NASA missions and provides an educational context that is attractive to the younger generation. This technology is currently under development and application at JPL to assist our missions in viewing their data, communicating with the public and visualizing future mission plans. Real-time demonstrations of CASSIE and other applications in development

  19. Cognitive behavioural therapy (CBT), third-wave CBT and interpersonal therapy (IPT) based interventions for preventing depression in children and adolescents.

    Science.gov (United States)

    Hetrick, Sarah E; Cox, Georgina R; Witt, Katrina G; Bir, Julliet J; Merry, Sally N

    2016-08-09

    Depression is common in young people. It has a marked negative impact and is associated with self-harm and suicide. Preventing its onset would be an important advance in public health. This is an update of a Cochrane review that was last updated in 2011. To determine whether evidence-based psychological interventions (including cognitive behavioural therapy (CBT), interpersonal therapy (IPT) and third wave CBT)) are effective in preventing the onset of depressive disorder in children and adolescents. We searched the specialised register of the Cochrane Common Mental Disorders Group (CCMDCTR to 11 September 2015), which includes relevant randomised controlled trials from the following bibliographic databases: The Cochrane Library (all years), EMBASE (1974 to date), MEDLINE (1950 to date) and PsycINFO (1967 to date). We searched conference abstracts and reference lists of included trials and reviews, and contacted experts in the field. We included randomised controlled trials of an evidence-based psychological prevention programme compared with any comparison control for young people aged 5 to 19 years, who did not currently meet diagnostic criteria for depression. Two authors independently assessed trials for inclusion and rated their risk of bias. We adjusted sample sizes to take account of cluster designs and multiple comparisons. We contacted trial authors for additional information where needed. We assessed the quality of evidence for the primary outcomes using GRADE. We included 83 trials in this review. The majority of trials (67) were carried out in school settings with eight in colleges or universities, four in clinical settings, three in the community and four in mixed settings. Twenty-nine trials were carried out in unselected populations and 53 in targeted populations.For the primary outcome of depression diagnosis at medium-term follow-up (up to 12 months), there were 32 trials with 5965 participants and the risk of having a diagnosis of depression was

  20. Public Perception of Climate Change and Mitigation Technologies; Percepcion Publica del Cambio Climatico y las Tecnologias de Mitigacion

    Energy Technology Data Exchange (ETDEWEB)

    Sola, R.; Sala, R.; Oltra, C.

    2007-09-27

    Public perception and understanding of climate change and mitigation policies may have a significant influence on the development of political programs as well as on individual behavioral intentions to address climate change. The study of public attitudes and beliefs about climate change and energy policy may be useful in the design of suitable communication strategies and in the efficient implementation of climate change mitigation and adaptation strategies. Based on a survey to the Spanish population, we analyze different issues such as the level of concern towards climate change, the existing knowledge about the contribution of different energy technologies to global warming, the attitudes toward energy technologies and the beliefs about potential adaptation strategies. Comparisons with other countries based on similar public opinion surveys are established to obtain a broader view of policy preferences and attitudes regarding climate change. (Author) 5 refs.

  1. What I have changed my mind about and why: public health and technology perspectives in the field of trauma studies.

    Science.gov (United States)

    Schnurr, Paula P; Bryant, Richard; Berliner, Lucy; Kilpatrick, Dean G; Rizzo, Albert; Ruzek, Josef I

    2017-01-01

    Background : This paper is based on a panel discussion at the 32nd annual meeting of the International Society for Traumatic Stress Studies in Dallas, Texas, in November 2016. Objective : Paula Schnurr convened a panel of experts in the fields of public health and technology to address the topic: 'What I have changed my mind about and why.' Method : The panel included Richard Bryant, Lucy Berliner, Dean Kilpatrick, Albert ('Skip') Rizzo, and Josef Ruzek. Results : Panellists discussed innovative strategies for the dissemination of scientific knowledge and evidence-based treatment. Conclusions : Although there are effective treatments, there is a need to enhance the effectiveness of these treatments. There also is a need to develop simpler, low-cost strategies to disseminate effective treatments. However, technology approaches also offer pathways to increased dissemination. Researchers must communicate scientific findings more effectively to impact public opinion and public policy.

  2. Acceptance and Mindfulness Techniques as Applied to Refugee and Ethnic Minority Populations with PTSD: Examples from "Culturally Adapted CBT"

    Science.gov (United States)

    Hinton, Devon E.; Pich, Vuth; Hofmann, Stefan G.; Otto, Michael W.

    2013-01-01

    In this article we illustrate how we utilize acceptance and mindfulness techniques in our treatment (Culturally Adapted CBT, or CA-CBT) for traumatized refugees and ethnic minority populations. We present a Nodal Network Model (NNM) of Affect to explain the treatment's emphasis on body-centered mindfulness techniques and its focus on psychological…

  3. Randomized Clinical Trial of Cognitive Behavioral Therapy (CBT) versus Acceptance and Commitment Therapy (ACT) for Mixed Anxiety Disorders

    Science.gov (United States)

    Arch, Joanna J.; Eifert, Georg H.; Davies, Carolyn; Vilardaga, Jennifer C. Plumb; Rose, Raphael D.; Craske, Michelle G.

    2012-01-01

    Objective: Randomized comparisons of acceptance-based treatments with traditional cognitive behavioral therapy (CBT) for anxiety disorders are lacking. To address this gap, we compared acceptance and commitment therapy (ACT) to CBT for heterogeneous anxiety disorders. Method: One hundred twenty-eight individuals (52% female, mean age = 38, 33%…

  4. The Constraints of Ghanaian Polytechnics in Adopting Competency Based Training (CBT): The Case of a Pilot-Tested Programme

    Science.gov (United States)

    Alhassan, Munkaila; Habib, Abdallah Mohammed

    2016-01-01

    Polytechnics in Ghana view Competency Based Training (CBT) as a major intervention to the perennial constraints confronting its education and training. On the basis of this, and by government policy, a pilot programme of CBT was instituted in all the 10 polytechnics of Ghana, and was pilot tested in, at least, one department. Agricultural…

  5. Enhancing Technical and Vocational Education and Training (TVET) in Nigeria for Sustainable Development: Competency-Based Training (CBT) Approach

    Science.gov (United States)

    Okoye, K. R. E.; Michael, Ofonmbuk Isaac

    2015-01-01

    This paper attempts to examine the concept of Competency-Based Training (CBT) as a veritable mode of delivery of Technical and Vocational Education and Training (TVET) and at the same time highlights some of the strengths and weaknesses of implementing competency-base training. The characteristics, principles and benefits of CBT were also x-rayed.…

  6. Integrating open-source technologies to build low-cost information systems for improved access to public health data

    Directory of Open Access Journals (Sweden)

    Oberle Mark W

    2008-06-01

    Full Text Available Abstract Effective public health practice relies on the availability of public health data sources and assessment tools to convey information to investigators, practitioners, policy makers, and the general public. Emerging communication technologies on the Internet can deliver all components of the "who, what, when, and where" quartet more quickly than ever with a potentially higher level of quality and assurance, using new analysis and visualization tools. Open-source software provides the opportunity to build low-cost information systems allowing health departments with modest resources access to modern data analysis and visualization tools. In this paper, we integrate open-source technologies and public health data to create a web information system which is accessible to a wide audience through the Internet. Our web application, "EpiVue," was tested using two public health datasets from the Washington State Cancer Registry and Washington State Center for Health Statistics. A third dataset shows the extensibility and scalability of EpiVue in displaying gender-based longevity statistics over a twenty-year interval for 3,143 United States counties. In addition to providing an integrated visualization framework, EpiVue's highly interactive web environment empowers users by allowing them to upload their own geospatial public health data in either comma-separated text files or MS Excel™ spreadsheet files and visualize the geospatial datasets with Google Maps™.

  7. Examining the patterns of innovation in low carbon energy science and technology: Publications and patents of Asian emerging economies

    International Nuclear Information System (INIS)

    Wong, Chan-Yuan; Fatimah Mohamad, Zeeda; Keng, Zi-Xiang; Ariff Azizan, Suzana

    2014-01-01

    This paper focuses on selected Asian emerging economies. The study employs publications and patents as proxies for science and technology, and its analysis is divided into three main parts: production trends, catching-up trends and patterns of convergence. The findings resulted in four salient points to be considered by policy makers: (1) ASEAN-4 lagged significantly behind the more advanced economies (Korea, Taiwan and China) even though their performance was identical in the early 1990s. China has forged ahead in terms of scientific publications and patents production, but lags behind in patents quality; (2) compared to the world average, the region as a whole has high potential to forge ahead in low carbon energy scientific production. (3) Advanced economies in Asia kicked off their low carbon energy science and technology development more from technological rather than scientific production, with no straightforward co-evolution between the two competencies. This demonstrates the need for a strong science-based technological foundation and a high level of dynamism for low carbon energy technology development; and (4) the economies demonstrated contrasting development trends in their focus between the supply and demand sides of energy technology development. The performance of the advanced economies is higher in ‘demand-side’ low carbon energy innovations

  8. Frugal Innovations in Technological and Institutional Infrastructure : Impact of Mobile Phone Technology on Productivity, Public Service Provision and Inclusiveness

    NARCIS (Netherlands)

    Altamirano, Monica A.; van Beers, C.P.

    2017-01-01

    This paper examines frugal innovations as processes, products and systems that affect the resource constraints that are typical for many developing countries. The focus is on the impacts of mobile phone technology-induced frugal innovations’ on the resource constraints and how these influence

  9. Geothermal technology publications and related reports: a bibliography, January-December 1983

    Energy Technology Data Exchange (ETDEWEB)

    Cooper, D.L. (ed.)

    1984-09-01

    This annotated bibliography covers the work of Sandia National Laboratories in the following areas: rock penetration mechanics, fluid technology, borehole mechanics, diagnostic technology, and systems analysis/program summaries. (MHR)

  10. Anticipating emerging genomics technologies: The role of patents and publication for research and policy strategies

    OpenAIRE

    Vandeberg, Rens LJ; Boon, Wouter PC

    2009-01-01

    There is an increasing interest in scanning and assessing the science and technology landscape for emerging technologies - such as those based on genomics knowledge - because innovations are beneficial to businesses and nations, and because of the Collingridge dilemma. The latter concerns the uncertainty and manageability of technology in its early development phases versus the more solidified later stages. In this context, the assessment of upcoming scientific and technological (sub)fields o...

  11. Anticipating emerging genomics technologies: The role of patents and publication for research and policy strategies

    OpenAIRE

    Boon, Wouter

    2009-01-01

    There is an increasing interest in scanning and assessing the science and technology landscape for emerging technologies – such as those based on genomics knowledge – because innovations are beneficial to businesses and nations, and because of the Collingridge dilemma. The latter concerns the uncertainty and manageability of technology in its early development phases versus the more solidified later stages. In this context, the assessment of upcoming scientific and technological (sub)fields o...

  12. An Examination of Publication Bias in an International Journal of Information Technology in Education

    Science.gov (United States)

    Liu, Leping; Aberasturi, Suzanne M.; Axtell, Kulwadee; Richmond, Aaron

    2007-01-01

    Publication bias refers to a tendency to publish articles with significant results over publications with nonsignificant results. In this article we first review the literature of publication bias focusing on the three major determinants (file drawer significance, file drawer effect size, and file drawer sample size) and two interrelated sources…

  13. Public R and D and commercialization of energy-efficient technology: A case study of Japanese projects

    International Nuclear Information System (INIS)

    Kimura, Osamu

    2010-01-01

    Are public R and D programs really effective in developing innovative technologies? How many technologies developed in these programs have been successfully commercialized? What are the key factors for successful commercialization and diffusion in the market? This paper tries to answer these questions by examining the Japanese experience of public R and D in demand-side energy efficiency, focusing on two major projects conducted in the 1980s and 1990s. It is found that of the 34 technologies developed in the two projects, only seven have been commercialized so far, four of those seven have only a very limited number of installations, and only one has a growing market. The results show that, while public R and D investments have a high risk of failure, they can bring new technologies to the market after a certain lead time. In addition, several factors resulting in the success or failure of commercialization/diffusion are identified, such as long-term R and D support by the government, a marketing strategy to respond to and influence market demand, and combination of R and D and deployment policy.

  14. A Randomized Controlled Trial of Online versus Clinic-Based CBT for Adolescent Anxiety

    Science.gov (United States)

    Spence, Susan H.; Donovan, Caroline L.; March, Sonja; Gamble, Amanda; Anderson, Renee E.; Prosser, Samantha; Kenardy, Justin

    2011-01-01

    Objective: The study examined the relative efficacy of online (NET) versus clinic (CLIN) delivery of cognitive behavior therapy (CBT) in the treatment of anxiety disorders in adolescents. Method: Participants included 115 clinically anxious adolescents aged 12 to 18 years and their parent(s). Adolescents were randomly assigned to NET, CLIN, or…

  15. Predictors of Depression Treatment Response in an Intensive CBT Partial Hospital.

    Science.gov (United States)

    Beard, Courtney; Stein, Aliza T; Hearon, Bridget A; Lee, Josephine; Hsu, Kean J; Björgvinsson, Thröstur

    2016-04-01

    Despite the effectiveness of cognitive behavioral therapy (CBT) for depression, a significant number of patients do not respond. Data examining predictors of treatment response in settings in which CBT is delivered naturalistically are lacking. Treatment outcome data collected at a CBT-based partial hospital (n = 956) were used to examine predictors of two types of treatment response: (a) a reliable and clinically significant change in depressive symptoms and (b) a self-rating of "very much" or "much" improved. In multiple logistic regression models, we examined predictors of response in the total sample and separately for patients with a primary diagnosis of major depressive disorder (MDD) versus patients with other primary diagnoses. In the total sample, higher treatment outcome expectations and fewer past hospitalizations predicted clinically significant improvement in depression symptoms, and higher treatment expectations and ethnoracial minority background predicted global improvement. In patients with primary MDD, higher treatment outcome expectations and being referred from the community (vs. inpatient hospitalization) predicted better depression response, and higher treatment outcome expectations predicted global improvement. In patients with other primary diagnoses, higher treatment outcome expectations and fewer borderline personality disorder traits predicted depression reduction, and higher treatment outcome expectations, less relationship difficulty, and female gender predicted global improvement. Results are generally consistent with data from randomized controlled trials on longer term outpatient CBT. Interventions that increase treatment expectancy and modifications to better target men may enhance treatment outcome. Future research should include objective outcome measures and examine mechanisms underlying treatment response. © 2016 Wiley Periodicals, Inc.

  16. Cbt for anxiety disorders in children with and without autism spectrum disorders

    NARCIS (Netherlands)

    van Steensel, F.J.A.; Bögels, S.M.

    2015-01-01

    Objective: The effectiveness of cognitive-behavioral therapy (CBT) for anxiety disorders in children with autism spectrum disorders (ASD) was examined, and compared with children without ASD. Method: Children with ASD and comorbid anxiety disorders (n = 79, 58 boys; Mage = 11.76) and children with

  17. Child Maltreatment History and Response to CBT Treatment in Depressed Mothers Participating in Home Visiting.

    Science.gov (United States)

    Ammerman, Robert T; Peugh, James L; Teeters, Angelique R; Putnam, Frank W; Van Ginkel, Judith B

    2016-03-01

    Child maltreatment contributes to depression in adults. Evidence indicates that such experiences are associated with poorer outcomes in treatment. Mothers in home visiting programs display high rates of depression and child maltreatment histories. In-Home Cognitive Behavioral Therapy (IH-CBT) was developed to treat maternal depression in home visiting. The purpose of this study was to examine the moderating effects of child maltreatment history on depression, social functioning, and parenting in mothers participating in a clinical trial of IH-CBT. Ninety-three depressed mothers in home visiting between 2 and 10 months postpartum were randomly assigned to IH-CBT (n = 47) plus home visiting or standard home visiting (SHV; n = 46). Mothers were identified via screening and then confirmation of major depressive disorder diagnosis. Measures of child maltreatment history, depression, social functioning, and parenting were administered at pre-treatment, post-treatment, and 3-month follow-up. Results indicated high rates of maltreatment in both conditions relative to the general population. Mixed model analyses found a number of main effects in which experiences of different types of trauma were associated with poorer functioning regardless of treatment condition. Evidence of a moderating effect of maltreatment on treatment outcomes was found for physical abuse and parenting and emotional abuse and social network size. Future research should focus on increasing the effectiveness of IH-CBT with depressed mothers who have experienced child maltreatment. © The Author(s) 2014.

  18. Metacognitive therapy versus disorder-specific CBT for comorbid anxiety disorders: A randomized controlled trial.

    Science.gov (United States)

    Johnson, Sverre Urnes; Hoffart, Asle; Nordahl, Hans M; Wampold, Bruce E

    2017-08-01

    Few studies have compared the effects of Metacognitive therapy (MCT) and Cognitive behavioral therapy (CBT) for comorbid anxiety disorders. In the current study we compared CBT and MCT for heterogeneous anxiety disorders in a residential setting. Ninety patients with a primary diagnosis of Post Traumatic Stress Disorder, Social Phobia or Panic disorder, with and without Agoraphobia, were randomized to either CBT or MCT. Patients were assessed at pre-treatment, post-treatment and one-year follow-up. Primary outcome measures were Beck Anxiety Inventory and ADIS IV and secondary outcome measures were SCID II, Beck Depression Inventory, Penn State Worry Questionnaire, The Symptom Checklist-90 and the Inventory of Interpersonal Problems-64. Treatment fidelity was satisfactory and therapist credibility was equal in both treatments. There was a significant difference in the level of anxiety favouring MCT at post-treatment (d=0.7), but there were no differences at one-year follow-up, mainly due to a further improvement in the CBT group during the follow-up period. Both treatments were efficacious. No differences in effect on comorbid diagnoses and symptoms were found, but MCT produced larger change in personality problems. MCT seems to have a more rapid effect on anxiety symptoms, but there were no significant differences in the long term for patients with comorbid anxiety disorders. Copyright © 2017 The Authors. Published by Elsevier Ltd.. All rights reserved.

  19. Staff Expectations and Views of Cognitive Behaviour Therapy (CBT) for Adults with Intellectual Disabilities

    Science.gov (United States)

    Kroese, Biza Stenfert; Jahoda, Andrew; Pert, Carol; Trower, Peter; Dagnan, Dave; Selkirk, Mhairi

    2014-01-01

    Background: The role of support workers and other professionals in the psychotherapeutic process has been commented upon but not as yet been systematically investigated. Method: To explore their views and expectations of cognitive behaviour therapy (CBT) for adults with intellectual disabilities, eleven paid support workers and professionals were…

  20. Mother-Child Interactions and Childhood OCD: Effects of CBT on Mother and Child Observed Behaviors

    Science.gov (United States)

    Schlup, Barbara; Farrell, Lara; Barrett, Paula

    2011-01-01

    This waitlist-controlled study investigates the impact of a group-based cognitive-behavioral therapy with family involvement (CBT-F) on observed mother and child behaviors in children with obsessive-compulsive disorder (OCD). Forty-four children and adolescents with OCD and their mothers were observed during family discussions before and after…

  1. Smoking Cessation Treatment for Patients With Mental Disorders Using CBT and Combined Pharmacotherapy.

    Science.gov (United States)

    Loreto, Aline Rodrigues; Carvalho, Carlos Felipe Cavalcanti; Frallonardo, Fernanda Piotto; Ismael, Flavia; Andrade, Arthur Guerra de; Castaldelli-Maia, João Maurício

    2017-01-01

    The aim of this study was to investigate smoking treatment effectiveness and retention in a population with and without mental disorders (MD). Participants received cognitive behavioral therapy (CBT) plus nicotine patch alone or in combination with other medications (i.e., gum, bupropion, or nortriptyline) for smoking cessation treatment in a Brazilian Psychosocial Care Center unit (CAPS), taking into account sociodemographics and smoking profile covariates. The study involved comparison of treatment success (seven-day point prevalence abstinence at the end of the treatment) and retention (presence of the individual in all of the four medical consultations and six group sessions) in two subsamples of patients with MD (n = 267) and without MD (n = 397) who were included in a six-week treatment provided by a CAPS from 2007 to 2013. The treatment protocol comprised group CBT and pharmacotherapy (nicotine patches, nicotine gums, and bupropion and nortriptyline available, prescribed by psychiatrists). Within patients with MD, CBT plus nicotine patch plus bupropion (aOR = 2.00, 95% CI [1.14, 3.50], p = .015) and CBT plus nicotine patch plus gum (aOR = 2.10, 95% CI [1.04, 4.23], p = .036) were associated with treatment success. Within patients without MD, female gender (aOR = 0.60, 95% CI [0.37, 0.95], p = .031) and lower Heaviness of Smoking Index score (aOR = 0.80, 95% CI [0.65, 0.99], p = .048) were associated with treatment success. No variable was associated with dropout or retention within patients with or without MD. Our findings support the use of CBT plus nicotine patch plus bupropion as well as CBT plus nicotine patch plus gum in samples with high rates of medical, psychiatric, and addiction disorders. These findings support those of previous studies in the general population. Pharmacological treatment associated with group CBT based on cognitive-behavioral concepts and combined with ongoing MD treatment seems to be the best option for smoking cessation

  2. Technology transfer in human vaccinology: a retrospective review on public sector contributions in a privatizing science field.

    Science.gov (United States)

    Hendriks, Jan

    2012-09-28

    As health intervention, vaccination has had a tremendous impact on reducing mortality and morbidity caused by infectious diseases. Traditionally vaccines were developed and made in the western, industrialised world and from there on gradually and with considerable delay became available for developing countries. Today that is beginning to change. Most vaccine doses are now produced in emerging economies, although industrialised countries still have a lead in vaccine development and in manufacturing innovative vaccines. Technology transfer has been an important mechanism for this increase in production capacity in emerging economies. This review looks back on various technology transfer initiatives and outlines the role of WHO and other public and private partners. It goes into a more detailed description of the role of the National Institute of Public Health and the Environment (RIVM) in Bilthoven, the Netherlands. For many decades RIVM has been providing access to vaccine technology by capacity building and technology transfer initiatives not only through multilateral frameworks, but also on a bilateral basis including a major project in China in the 90 s of the previous century. Looking forward it is expected that, in a globalizing world, the ambition of BRICS countries to play a role in global health will lead to an increase of south-south technology transfers. Further, it is argued that push approaches including technology transfer from the public domain, connecting innovative enabling platforms with competent developing country vaccine manufacturers (DCVM), will be critical to ensure a sustainable supply of affordable and quality vaccines to national immunization programmes in developing countries. Copyright © 2012 Elsevier Ltd. All rights reserved.

  3. Infectious disease surveillance in the United States and the United Kingdom: from public goods to the challenges of new technologies.

    Science.gov (United States)

    Barnett, Tony; Sorenson, Corinna

    2011-02-01

    Infectious diseases are a long-standing and continuing threat to health and welfare, with their containment dependent on national disease surveillance and response capacities. This article discusses infectious disease surveillance in the United States and the United Kingdom, examining historical national traditions for identifying and controlling infectious disease risks and how globalization and technical advances have influenced the evolution of their respective approaches. The two systems developed in different but parallel ways. In the United States, surveillance remained quite localized at the state level until the early twentieth century and still retains many of those features. The U.K. approach became centralized from the latter part of the nineteenth century and has principally remained so. In both cases, disease surveillance was traditionally conceived as a public good, where national or local authorities held sovereign rights and power to protect public health. With the increasing globalized nature of infectious disease, such notions shifted toward surveillance as a global public good, with countries responding in turn by creating new global health governance arrangements and regulations. However, the limitations of current surveillance systems and the strong hold of national interests place into question the provision of surveillance as a global public good. These issues are further highlighted with the introduction of new surveillance technologies, which offer opportunities for improved disease detection and identification but also create potential tensions between individual rights, corporate profit, equitable access to technology, and national and global public goods.

  4. Media debates and 'ethical publicity' on social sex selection through preimplantation genetic diagnosis (PGD) technology in Australia.

    Science.gov (United States)

    Whittaker, Andrea

    2015-01-01

    This paper offers a critical discourse analysis of media debate over social sex selection in the Australian media from 2008 to 2014. This period coincides with a review of the National Health and Medical Research Council's Ethical Guidelines on the Use of Assisted Reproductive Technology in Clinical Practice and Research (2007), which underlie the regulation of assisted reproductive clinics and practice in Australia. I examine the discussion of the ethics of pre-implatation genetic diagnosis (PGD) within the media as 'ethical publicity' to the lay public. Sex selection through PGD is both exemplary of and interconnected with a range of debates in Australia about the legitimacy of certain reproductive choices and the extent to which procreative liberties should be restricted. Major themes emerging from media reports on PGD sex selection in Australia are described. These include: the spectre of science out of control; ramifications for the contestation over the public funding of abortion in Australia; private choices versus public authorities regulating reproduction; and the ethics of travelling overseas for the technology. It is concluded that within Australia, the issue of PGD sex selection is framed in terms of questions of individual freedom against the principle of sex discrimination - a principle enshrined in legislation - and a commitment to publically-funded medical care.

  5. The Smart Floor: How a Public-Private Partnership co-developed a heterogeneous healthcare technology system.

    Science.gov (United States)

    Brodersen, Søsser; Lindegaard, Hanne

    2015-01-01

    Currently, a wide variety of healthcare technologies are being implemented in private homes, hospitals, nursing homes, etc. with the triple aim of improving people's health, improving the quality of care, and reducing costs related to healthcare services. In this chapter, we discuss how different actors in a public-private partnership co-developed a heterogeneous system around the Smart Floor to ensure that both new healthcare practices and residents' routines were inscribed into the new healthcare technology. We argue that implementing the Smart Floor was not just a question of buying a technology and integrating it during construction-it required co-development with the healthcare staff. The floor is more than a technology placed under the floor surface in a resident's apartment; rather, it is a heterogeneous network of human and non-human actors communicating with each other. In this chapter, we illustrate how the heterogeneous technological system was co-developed and redesigned during knowledge sharing processes with companies, lead-users, and healthcare staff. We also discuss how care practices have changed as a result of the Smart Floor system. In particular, healthcare staff members no longer feel a need to disturb elderly residents with routine in-person checks. Domesticating the technologies for different groups of actors required not only coordinating communication among sensors, the interface, the portable nurse call (smartphones), and alarms, but also accepting the use of surveillance technology.

  6. The Effect of Video Presentation in a CBT Environment

    Science.gov (United States)

    Montazemi, Ali Reza

    2006-01-01

    Multimedia is increasingly used to enhance human-computer interaction in a variety of formats (text, graphics, audio, animation, and video). The challenge is how to use the most effective presentation format that would result in performance improvement. This paper addresses the added value of video presentations in a technology-mediated learning…

  7. Paediatric Obsessive-Compulsive Disorder and Depressive Symptoms: Clinical Correlates and CBT Treatment Outcomes.

    Science.gov (United States)

    Brown, H M; Lester, K J; Jassi, A; Heyman, I; Krebs, G

    2015-07-01

    Depression frequently co-occurs with paediatric obsessive-compulsive disorder (OCD), yet the clinical correlates and impact of depression on CBT outcomes remain unclear. The prevalence and clinical correlates of depression were examined in a paediatric specialist OCD-clinic sample (N = 295; Mean = 15 [7 - 18] years, 42 % female), using both dimensional (Beck Depression Inventory-youth; n = 261) and diagnostic (Development and Wellbeing Assessment; n = 127) measures of depression. The impact of depressive symptoms and suspected disorders on post-treatment OCD severity was examined in a sub-sample who received CBT, with or without SSRI medication (N = 100). Fifty-one per-cent of patients reported moderately or extremely elevated depressive symptoms and 26 % (95 % CI: 18 - 34) met criteria for a suspected depressive disorder. Depressive symptoms and depressive disorders were associated with worse OCD symptom severity and global functioning prior to CBT. Individuals with depression were more likely to be female, have had a psychiatric inpatient admission and less likely to be attending school (ps depressive symptom severity significantly decreased after CBT. Depressive symptoms and depressive disorders predicted worse post-treatment OCD severity (βs = 0.19 and 0.26, ps Depression is common in paediatric OCD and is associated with more severe OCD and poorer functioning. However, depression severity decreases over the course of CBT for OCD and is not independently associated with worse outcomes, supporting the recommendation for treatment as usual in the presence of depressive symptoms.

  8. Sleep quality predicts treatment outcome in CBT for social anxiety disorder.

    Science.gov (United States)

    Zalta, Alyson K; Dowd, Sheila; Rosenfield, David; Smits, Jasper A J; Otto, Michael W; Simon, Naomi M; Meuret, Alicia E; Marques, Luana; Hofmann, Stefan G; Pollack, Mark H

    2013-11-01

    Sleep quality may be an important, yet relatively neglected, predictor of treatment outcome in cognitive-behavioral therapy (CBT) for anxiety disorders. Specifically, poor sleep quality may impair memory consolidation of in-session extinction learning. We therefore examined sleep quality as a predictor of treatment outcome in CBT for social anxiety disorder and the impact of d-cycloserine (DCS) on this relationship. One hundred sixty-nine participants with a primary diagnosis of DSM-IV generalized social anxiety disorder were recruited across three sites. Participants were enrolled in 12 weeks of group CBT. Participants randomly received 50 mg of DCS (n = 87) or pill placebo (n = 82) 1 hr prior to sessions 3-7. Participants completed a baseline measure of self-reported sleep quality and daily diaries recording subjective feelings of being rested upon wakening. Outcome measures including social anxiety symptoms and global severity scores were assessed at each session. Poorer baseline sleep quality was associated with slower improvement and higher posttreatment social anxiety symptom and severity scores. Moreover, patients who felt more "rested" after sleeping the night following a treatment session had lower levels of symptoms and global severity at the next session, controlling for their symptoms and severity scores the previous session. Neither of these effects were moderated by DCS condition. Our findings suggest that poor sleep quality diminishes the effects of CBT for social anxiety disorder and this relation is not attenuated by DCS administration. Therapeutic attention to sleep quality prior to initiation of CBT and during the acute treatment phase may be clinically indicated. © 2013 Wiley Periodicals, Inc.

  9. Development and Implementation of Health and Wellness CBT for Individuals with Depression and HIV.

    Science.gov (United States)

    Kennard, B; Brown, L; Hawkins, L; Risi, A; Radcliffe, J; Emslie, G; Mayes, T; King, J; Foxwell, A; Buyukdura, J; Bethel, J; Naar-King, S; Xu, J; Lee, S; Garvie, P; London, C; Tanney, M; Thornton, S

    2014-05-01

    Rates of depression are reported to be between 22-33% in adults with HIV, which is double that of the general population. Depression negatively affects treatment adherence and health outcomes of those with medical illnesses. Further, it has been shown in adults that reducing depression may improve both adherence and health outcomes. To address the issues of depression and non-adherence, Health and Wellness (H&W) Cognitive Behavioral Therapy (CBT) and medication management (MM) treatment strategies have been developed specifically for youth living with both HIV and depression. H&W CBT is based on other studies with uninfected youth and upon research on adults with HIV. H&W CBT uses problem-solving, motivational interviewing, and cognitive-behavioral strategies to decrease adherence obstacles and increase wellness. The intervention is delivered in 14 planned sessions over a 6-month period, with three different stages of CBT. This paper summarizes the feasibility and acceptability data from an open depression trial with 8 participants, 16-24 years of age, diagnosed with HIV and with a Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) diagnosis of depression, conducted at two treatment sites in the Adolescent Trials Network (ATN). Both therapists and subjects completed a Session Evaluation Form (SEF) after each session, and results were strongly favorable. Results from The Quick Inventory of Depressive Symptomatology-Clinician (QIDS-C) also showed noteworthy improvement in depression severity. A clinical case vignette illustrates treatment response. Further research will examine the use of H&W CBT in a larger trial of youth diagnosed with both HIV and depression.

  10. Communications on hazards to the ecology, public health and the society as a result of modern technologies

    International Nuclear Information System (INIS)

    Hoffmann, R.; Borgmann, M.; Wiedemann, P.; Rohrmann, B.

    1988-01-01

    The bibliography covers journals, books and grey literature published since 1980 to date in the field of communications research on the issue of hazards to the ecology, public health and the society as a result of modern technologies. The scientific research disciplines contributing in this context are sociology, psychology, political sciences, appropriate sectors of engineering science and scientific management. The technological subjects covered include: Nuclear energy, fossil energy sources, other energy sources, the chemical industry and pharmaceutical industry, the petrochemical industry, biological engineering, climate research, the CO 2 problem and the ozone layer, and medical aspects. (DG) [de

  11. Evaluation of the Sustainability and Clinical Outcome of Alternatives for Families: A Cognitive-Behavioral Therapy (AF-CBT) in a Child Protection Center

    Science.gov (United States)

    Kolko, David J.; Iselin, Anne-Marie R.; Gully, Kevin J.

    2011-01-01

    This paper examines the sustainability and outcome of Alternatives for Families: A Cognitive-Behavioral Therapy (AF-CBT) as delivered by practitioners in a community-based child protection program who had received training in the model several years earlier. Formerly described as Abuse-Focused CBT, AF-CBT is an evidence-based treatment (EBT) for…

  12. Geothermal technology publications and related reports: a bibliography, January 1984-December 1985

    Energy Technology Data Exchange (ETDEWEB)

    Cooper, D.L. (ed.)

    1986-09-01

    Technological limitations restrict the commercial availability of US geothermal resources and prevent effective evaluation of large resources, as magma, to meet future US needs. The US Department of Energy has asked Sandia to serve as the lead laboratory for research in Geothermal Technologies and Magma Energy Extraction. In addition, technology development and field support has been provided to the US Continental Scientific Drilling Program. Published results for this work from January 1984 through December 1985 are listed in this bibliography.

  13. Evaluation of the relative efficacy of a couple cognitive-behaviour therapy (CBT) for Premenstrual Disorders (PMDs), in comparison to one-to-one CBT and a wait list control: A randomized controlled trial.

    Science.gov (United States)

    Ussher, Jane M; Perz, Janette

    2017-01-01

    A randomised control trial (RCT) was conducted to examine the efficacy of couple-based cognitive behaviour therapy (CBT) for Premenstrual Disorders (PMDs), in comparison to one-to-one CBT and a wait-list control. Triangulation of quantitative and qualitative outcome measures evaluated changes pre-post intervention. Eighty three women were randomly allocated across three conditions, with 63 completing post-intervention measures, a retention rate of 76%. Repeated measures analysis of variance found a significant time by group interaction identifying that women in the two CBT conditions reported lower total premenstrual symptoms, emotional reactivity/mood, and premenstrual distress, in comparison to the wait list control. Significantly higher active behavioural coping post-intervention was found in the couple condition than in the one-to-one and wait list control groups. Qualitative analysis provided insight into the subjective experience of PMDs and participation in the intervention study. Across groups, women reported increased awareness and understanding of premenstrual change post-intervention. A larger proportion of women in the CBT conditions reported reduction in intensity and frequency of negative premenstrual emotional reactivity, increased communication and help-seeking, increased understanding and acceptance of embodied change, and the development of coping skills, post-intervention. Increased partner understanding and improved relationship post-intervention was reported by a greater proportion of participants in the CBT conditions, most markedly in the couple condition. These findings suggest that one-to-one and couple CBT interventions can significantly reduce women's premenstrual symptomatology and distress, and improve premenstrual coping. Couple based CBT interventions may have a greater positive impact upon behavioural coping and perceptions of relationship context and support. This suggests that CBT should be available for women reporting moderate

  14. The publication of scientific data by World Data Centers and the National Library of Science and Technology in Germany

    Directory of Open Access Journals (Sweden)

    J Brase

    2006-11-01

    Full Text Available In its 2004 report "Data and information", the International Council for Science (ICSU strongly recommended a new strategic framework for scientific data and information. On an initiative from a working group from the Committee on Data for Science and Technology (CODATA, the German Research Foundation (DFG has started the project "Publication and Citation of Scientific Primary Data" as part of the program "Information-infrastructure of network -based scientific-cooperation and digital publication" in 2004. Starting with the field of earth science, the German National Library of Science and Technology (TIB is now established as a registration agency for scientific primary data as a member of the International DOI Foundation (IDF.

  15. [Jurisdictions on the reimbursement of new medical technologies by public health insurance: A systematic review].

    Science.gov (United States)

    Ex, Patricia; Felgner, Susanne; Henschke, Cornelia

    2018-01-10

    In Germany reimbursement for new medical technologies is often enforced before a social court. It is likely that these judicial decisions also affect the sickness funds' decisions on requests for reimbursement and thus patient access to new technologies in general. The aim of this study was to identify the technologies that have repeatedly generated court actions and whether these actions have been successful. The focus was on differences between sectors, technology groups and indications. Based on this, we analysed in a case study whether judicial decisions on the reimbursement of the same technologies vary across the years. Based on a systematic review, we identified judicial decisions of German social courts on new technologies for the years 2011 to 2016. The analysis included social court decisions on reimbursements for technologies used in the treatment of individual patients. 284 judicial decisions on new technologies were considered in the analysis. In one third of the cases, the sickness funds were required to reimburse the costs, with a higher percentage in inpatient than in outpatient care. Technologies used in treatment of diseases of the eyes and the ears were granted most frequently. In cases involving similar circumstances the social courts sometimes came to conflicting decisions; these decisions are, in part, contradictory to subsequent assessments by the Joint Federal Committee (G-BA). Decisions as to whether reimbursement for new technologies is granted or not do not appear to follow a systematic approach. In the context of the seemingly innovation-friendly policy in inpatient care, there is uncertainty with regard to the "generally accepted state of medical knowledge." It is problematic for both patients and their treating physicians that over a number of years legal proceedings are being initiated for technologies that have not been subjected to a systematic assessment of their benefit. Copyright © 2018. Published by Elsevier GmbH.

  16. Bibliometric analysis of Spanish scientific publications in the subject Construction & Building Technology in Web of Science database (1997-2008)

    OpenAIRE

    Rojas-Sola, J. I.; de San-Antonio-Gómez, C.

    2010-01-01

    In this paper the publications from Spanish institutions listed in the journals of the Construction & Building Technology subject of Web of Science database for the period 1997- 2008 are analyzed. The number of journals in whose is published is 35 and the number of articles was 760 (Article or Review). Also a bibliometric assessment has done and we propose two new parameters: Weighted Impact Factor and Relative Impact Factor; also includes the number of citations and the number documents ...

  17. U.S. Public Libraries and Web Technologies: What's Happening Now?

    Science.gov (United States)

    Helgren, Jamie E.; Lietzau, Zeth

    2011-01-01

    In 2008, we started by pulling a sample of 483 public libraries from across the country, using 2007 public library annual report data. Because small libraries have different needs and resources than larger libraries, we stratified the sample to make comparisons by size, according to the following population groups: fewer than 10,000 served;…

  18. Energy Technology Solutions: Public-Private Partnerships Transforming Industry - December 2010

    Energy Technology Data Exchange (ETDEWEB)

    none,

    2010-12-01

    AMO's research and development partnerships with industry have resulted in more than 220 technologies and other solutions that can be purchased today. This document includes a description of each solution, its benefits, and vendor contact information. The document also identifies emerging technologies and other resources to help industry save energy.

  19. Anticipating emerging genomics technologies: The role of patents and publication for research and policy strategies

    NARCIS (Netherlands)

    Boon, Wouter

    There is an increasing interest in scanning and assessing the science and technology landscape for emerging technologies – such as those based on genomics knowledge – because innovations are beneficial to businesses and nations, and because of the Collingridge dilemma. The latter concerns the

  20. Educational Technology and the Enclosure of Academic Labour inside Public Higher Education

    Science.gov (United States)

    Hall, Richard

    2013-01-01

    Across higher education in the United Kingdom, the procurement and deployment of educational technology increasingly impacts the practices of academic labour, in terms of administration, teaching and research. Moreover the relationships between academic labour and educational technology are increasingly framed inside the practices of neoliberal,…

  1. Transfer of aerospace technology to selected public sector areas of concern

    Science.gov (United States)

    Berke, J. G.

    1972-01-01

    The activities of the NASA Technology Applications Team at Stanford Research Institute, California are discussed. The specific activities in the fields of criminalistics and transportation are reported. The overall objectives of the program are stated on the basis of successful technology transfer and providing appropriate visibility for program activities.

  2. Structuring the Technology Entrepreneurship publication landscape: Making sense out of chaos

    NARCIS (Netherlands)

    Ratinho, Tiago; Harms, Rainer; Walsh, Steven Thomas

    2015-01-01

    Technology Entrepreneurship (TE) is a popular and interdisciplinary research field, which is currently published in many different journals. TE articles, once the proviso of management of technology and general entrepreneurship journals, can now be found in journals ranging from those focused on

  3. Parental acculturation level moderates outcome in peer-involved and parent-involved CBT for anxiety disorders in Latino youth.

    Science.gov (United States)

    Vaclavik, Daniella; Buitron, Victor; Rey, Yasmin; Marin, Carla E; Silverman, Wendy K; Pettit, Jeremy W

    2017-09-01

    Cognitive behavioral therapies (CBTs) are efficacious treatments for anxiety disorders in Latino youth. However, there is a gap in knowledge about moderators of CBT outcomes in Latino youth. This study addresses this gap by examining parental acculturation as a moderator of youth anxiety outcomes in a randomized controlled trial of parent-involved CBT (CBT/P) and peer-involved group CBT (GCBT) in 139 Latino youth (ages 6 to 16 years; mean age = 9.68 years). Comparable youth anxiety reduction effects were found for CBT/P and GCBT. Parental acculturation to majority US culture, but not identification with country of origin, significantly moderated youth anxiety outcomes: at low levels of parental acculturation to majority US culture, youth posttreatment anxiety scores were lower in GCBT than CBT/P; at high levels of parental acculturation to majority US culture, youth posttreatment anxiety scores were lower in CBT/P than GCBT. These findings provide further evidence for the efficacy of CBTs for anxiety disorders in Latino youth and also provide guidance for moving toward personalization of CBTs' selection depending on parental acculturation levels.

  4. A Qualitative Study to Explore Patients', Carers' and Health Professionals' Views to Culturally Adapt CBT for Psychosis (CBTp) in Pakistan.

    Science.gov (United States)

    Naeem, Farooq; Habib, Nazish; Gul, Mirrat; Khalid, Mehwish; Saeed, Sofiya; Farooq, Saeed; Munshi, Tariq; Gobbi, Mary; Husain, Nusrat; Ayub, Muhammad; Kingdon, David

    2016-01-01

    Cognitive Behaviour Therapy (CBT) has an established evidence base and is recommended by the national organizations in United Kingdom and the United States. CBT remains under utilized in low and middle income countries. CBT was developed in the west and it has been suggested that it is underpinned by western values. It therefore follows that to make CBT accessible for non western clients, it needs adapting into a given culture. Our aim was to develop guidelines for adapting CBT for psychosis in Pakistan by incorporating the views of the patients, their carers and mental health professionals. We conducted a series of qualitative studies in Pakistan to adapt CBT for psychosis (a total of 92 interviews). The data were analyzed by systematic content and question analysis. Analysis started by identifying emerging themes and categories. Themes emerging from the analyses of interviews by each interviewer were compared and contrasted with others interviewers constantly. Triangulation of themes and concepts was undertaken to further compare and contrast the data from the different participating groups. The results of these studies highlighted the barriers in therapy as well as strengths while working with this patient group. Patients and their carers in Pakistan use a bio-psycho-spiritual-social model of illness. They seek help from various sources. Therapists make minor adjustments in therapy. The findings from this study will help therapists working with this client group using CBT for psychosis in Pakistan. These results need to be tested through controlled trials.

  5. Effectiveness of cognitive behaviour therapy for treatment-resistant depression with psychiatric comorbidity: comparison of individual versus group CBT in an interdisciplinary rehabilitation setting.

    Science.gov (United States)

    Hauksson, Pétur; Ingibergsdóttir, Sylvía; Gunnarsdóttir, Thórunn; Jónsdóttir, Inga Hrefna

    2017-08-01

    Cognitive behaviour therapy (CBT) has been shown to be effective, yet there is a paucity of research on the differential effectiveness of individual and group CBT for adults with treatment-resistant depression with psychiatric comorbidity. To investigate the effectiveness of individual and group CBT for inpatients, in an interdisciplinary rehabilitation setting; the extent of psychiatric comorbidity; and who benefits the most from group CBT. All patients (n = 181) received 6 weeks of rehabilitation (treatment as usual, TAU). In addition, they were randomly allocated to group CBT (n = 86) or individual CBT (n = 59) combined with TAU, or TAU only (n = 36). All CBT therapists were part of an interdisciplinary team, had at least 1-year CBT training, and attended weekly supervision. The same CBT manual was used for individual and group therapy, providing 12 sessions, two per week. Groups had 12-15 participants and two therapists in each session. Individual CBT was superior in efficacy to group CBT and TAU, with a large within-subject effect size (ES = 2.10). Group CBT was not superior to TAU. The benefits of treatment decreased over time, but remained large at 18-month follow-up for individual CBT (ES = 1.02), and medium for group CBT (ES = 0.46) and TAU (ES = 0.60). Individual CBT was an effective addition to TAU and showed significant improvements in symptom severity post-treatment and at 18-month follow-up. Disorder severity and comorbidity may have decreased effectiveness of group therapy primarily aimed at depression.

  6. Comparing the Efficacy of CBASP with Two Versions of CBT for Depression in a Routine Care Center: A Randomized Clinical Trial.

    Science.gov (United States)

    Rief, Winfried; Bleichhardt, Gabi; Dannehl, Katharina; Euteneuer, Frank; Wambach, Katrin

    2018-04-12

    The cognitive-behavioral analysis system of psychotherapy (CBASP) was developed for the treatment of chronic, early-onset depression. However, it is unclear whether this approach can be recommended for depression in general (episodic and chronic), and no direct comparisons between CBASP with different versions of cognitive-behavioral therapy (CBT) exist. A randomized controlled trial compared 3 treatment conditions (all lasting 16 sessions) with a waiting list group (WL): CBASP, CBT with a focus on physical exercise (CBT-E), and CBT with a focus on pleasurable, low-energy and mindful activities (CBT-M). We included 173 patients and involved 41 therapists. Assessments were at baseline, after session 8, and at the end of treatment. Our primary outcome Beck Depression Inventory-II indicated a general advantage of the CBT arms compared to CBASP [F(6, 154.5) = 4.2, p = 0.001], with significant contrasts in particular in favor of CBT-E. Effect sizes against WL were d = 0.91 (CBT-E), 0.87 (CBT-M), and 0.47 (CBASP). A triple interaction with an additional factor "chronic versus episodic depression" [F(6, 142.7) = 2.2, p = 0.048] indicated that the treatments resulted in different outcomes, with best results again for CBT-E in particular in episodic depression. Responder rates indicated significant improvements (56% in both CBT arms, 34% in the CBASP arm, 3.4% in WL; intention-to-treat samples). As compared to CBASP, response rates were significantly higher for CBT-E (OR = 2.48; 95% CI = 1.02-6.00) and CBT-M (OR = 2.46; 95% CI = 1.01-6.01). CBASP was more effective than WL, but less effective than the 2 CBT arms. This was mainly caused by an advantage of CBT interventions in episodic depression. © 2018 S. Karger AG, Basel.

  7. [THE ORGANIZATION OF REHABILITATION CARE OF POPULATION USING INNOVATIVE MEDICAL ORGANIZATIONAL TECHNOLOGIES AND PRINCIPLES OF PUBLIC PRIVATE PARTNERSHIP].

    Science.gov (United States)

    Totskaia, E G; Sheliakina, O W; Sadovoii, M A; Netchaev, V S

    2015-01-01

    The article considers actual problems of actual stage of development of health care related to using innovative approaches to organization and management of rehabilitation care ofpopulation. The rehabilitation is most important direction of medical sector supporting complex of services in closed cycle of rendering medical care to population and significant social economic effects. The capacity and extreme unprofitability of rehabilitation services determine necessity of searching alternative forms of organization of this type of care and financing including mechanisms of public-private partnership. The experience is presented related to involvement of resources of non-public medical organizations for implementing public commitments on rendering qualitative rehabilitation services to population using innovative medical organizational technologies.

  8. The public understanding of nanotechnology in the food domain: the hidden role of views on science, technology, and nature.

    Science.gov (United States)

    Vandermoere, Frederic; Blanchemanche, Sandrine; Bieberstein, Andrea; Marette, Stephan; Roosen, Jutta

    2011-03-01

    In spite of great expectations about the potential of nanotechnology, this study shows that people are rather ambiguous and pessimistic about nanotechnology applications in the food domain. Our findings are drawn from a survey of public perceptions about nanotechnology food and nanotechnology food packaging (N = 752). Multinomial logistic regression analyses further reveal that knowledge about food risks and nanotechnology significantly influences people's views about nanotechnology food packaging. However, knowledge variables were unrelated to support for nanofood, suggesting that an increase in people's knowledge might not be sufficient to bridge the gap between the excitement some business leaders in the food sector have and the restraint of the public. Additionally, opposition to nanofood was not related to the use of heuristics but to trust in governmental agencies. Furthermore, the results indicate that public perceptions of nanoscience in the food domain significantly relate to views on science, technology, and nature.

  9. A transdiagnostic comparison of enhanced cognitive behaviour therapy (CBT-E) and interpersonal psychotherapy in the treatment of eating disorders.

    Science.gov (United States)

    Fairburn, Christopher G; Bailey-Straebler, Suzanne; Basden, Shawnee; Doll, Helen A; Jones, Rebecca; Murphy, Rebecca; O'Connor, Marianne E; Cooper, Zafra

    2015-07-01

    Eating disorders may be viewed from a transdiagnostic perspective and there is evidence supporting a transdiagnostic form of cognitive behaviour therapy (CBT-E). The aim of the present study was to compare CBT-E with interpersonal psychotherapy (IPT), a leading alternative treatment for adults with an eating disorder. One hundred and thirty patients with any form of eating disorder (body mass index >17.5 to <40.0) were randomized to either CBT-E or IPT. Both treatments involved 20 sessions over 20 weeks followed by a 60-week closed follow-up period. Outcome was measured by independent blinded assessors. Twenty-nine participants (22.3%) did not complete treatment or were withdrawn. At post-treatment 65.5% of the CBT-E participants met criteria for remission compared with 33.3% of the IPT participants (p < 0.001). Over follow-up the proportion of participants meeting criteria for remission increased, particularly in the IPT condition, but the CBT-E remission rate remained higher (CBT-E 69.4%, IPT 49.0%; p = 0.028). The response to CBT-E was very similar to that observed in an earlier study. The findings indicate that CBT-E is potent treatment for the majority of outpatients with an eating disorder. IPT remains an alternative to CBT-E, but the response is less pronounced and slower to be expressed. ISRCTN 15562271. Copyright © 2015 The Authors. Published by Elsevier Ltd.. All rights reserved.

  10. A transdiagnostic comparison of enhanced cognitive behaviour therapy (CBT-E) and interpersonal psychotherapy in the treatment of eating disorders

    Science.gov (United States)

    Fairburn, Christopher G.; Bailey-Straebler, Suzanne; Basden, Shawnee; Doll, Helen A.; Jones, Rebecca; Murphy, Rebecca; O'Connor, Marianne E.; Cooper, Zafra

    2015-01-01

    Eating disorders may be viewed from a transdiagnostic perspective and there is evidence supporting a transdiagnostic form of cognitive behaviour therapy (CBT-E). The aim of the present study was to compare CBT-E with interpersonal psychotherapy (IPT), a leading alternative treatment for adults with an eating disorder. One hundred and thirty patients with any form of eating disorder (body mass index >17.5 to <40.0) were randomized to either CBT-E or IPT. Both treatments involved 20 sessions over 20 weeks followed by a 60-week closed follow-up period. Outcome was measured by independent blinded assessors. Twenty-nine participants (22.3%) did not complete treatment or were withdrawn. At post-treatment 65.5% of the CBT-E participants met criteria for remission compared with 33.3% of the IPT participants (p < 0.001). Over follow-up the proportion of participants meeting criteria for remission increased, particularly in the IPT condition, but the CBT-E remission rate remained higher (CBT-E 69.4%, IPT 49.0%; p = 0.028). The response to CBT-E was very similar to that observed in an earlier study. The findings indicate that CBT-E is potent treatment for the majority of outpatients with an eating disorder. IPT remains an alternative to CBT-E, but the response is less pronounced and slower to be expressed. Current controlled trials ISRCTN 15562271. PMID:26000757

  11. A Follow-Up Study from a Multisite, Randomized Controlled Trial for Traumatized Children Receiving TF-CBT.

    Science.gov (United States)

    Jensen, Tine K; Holt, Tonje; Ormhaug, Silje M

    2017-11-01

    Trauma-focused cognitive behavioral therapy (TF-CBT) is the treatment of choice for traumatized youth, however, follow-up studies are scarce, and treatment effects for co-occurring depression show mixed findings. The aims of this study were to examine whether treatment effects of TF-CBT are maintained at 18 month follow-up and whether degree of co-occurring depression influences treatment effects. As rapid improvement in psychological functioning is warranted for youth, we also investigated whether the symptom trajectory was different for TF-CBT compared to therapy as usual (TAU). The sample consisted of 156 youth (M age = 15.05, 79.50% girls) randomly assigned to TF-CBT or TAU. The youth were assessed for posttraumatic stress symptoms (PTSS), depression, anxiety and general mental health symptoms. Mixed effects analyses followed the symptom courses over 5 time points. Youth receiving TF-CBT maintained their symptom improvement at 18 months follow-up with scores below clinical cut-of on all symptom measures. The most depressed youth had also a significant decline in symptoms that were maintained at follow-up. Symptom trajectories differed as the TF-CBT group reported a more rapid symptom reduction compared to the TAU condition. In the TAU condition, participants received 1.5 times the number of treatment sessions compared to the TF-CBT participants. After 18 months the groups were significantly different on general mental health symptoms only. In conclusion, youth receiving TF-CBT experienced more efficient improvement in trauma related symptoms than youth receiving TAU and these improvements were maintained after 18 months. Also youth experiencing serious co-occurring depression benefitted from TF-CBT.

  12. The politics of technology and site location: impact of state interventionism on an Indian public sector firm

    Directory of Open Access Journals (Sweden)

    Dilip Subramanian

    2013-11-01

    Full Text Available Can an industrial organisation simultaneously fulfil economic and social functions, that is to say successfully reconcile its own priorities of optimal resource utilisation and productive efficiency with the larger objectives of social justice defined for it by public authorities? This is the central question this paper whose compass is restricted to the 1980s asks, and seeks to answer on the basis of a study of locational and technology choices at a big public sector manufacturing firm, Indian Telephone Industries. It will show how decisions pertaining both to the implantation of new state-owned factories and the sourcing of technology were shaped not by an economic rationale but a political one where employment generation took precedence over all other considerations. This was a consequence, on the one hand, of the paradigm of state-initiated industrial development embraced by India after Independence in 1947 and which held out the promise of future prosperity for the population at large; on the other, of the mode of governance prevailing in public enterprises where state interventionism rhymed with the complete loss of autonomy for managements. The paper concludes by pointing out that however justified the redistributive goals allocated to public enterprises from the standpoint of improving living standards, they proved highly detrimental to their efficient working as well as onerous for the exchequer.

  13. The good, the bad, and the ambivalent: A qualitative study of public perceptions towards energy technologies and portfolios in Germany

    International Nuclear Information System (INIS)

    Scheer, Dirk; Konrad, Wilfried; Wassermann, Sandra

    2017-01-01

    This paper investigates informed public preferences about electricity technologies and portfolios in Germany, qualitatively analyzing opinions, reasoning patterns and judgments of perceived risks and benefits among lay people. The authors developed and applied a ‘mixed-method’ focus group approach involving 130 participants in 15 focus groups throughout Germany. This research aimed to specify participants’ attitudes and preferences regarding electricity technologies and portfolios (evaluation categories); comparatively assess these preferences (technology/portfolio acceptance profiles); and identify participants’ decision-making strategies and processes (decision rule typology). The evaluation basis of people's preferences comprises nine evaluation categories including, among others, trust, national and household economics, and environmental and health impacts. When assessing preferences regarding electricity technologies and portfolios, two overriding results need to be emphasized: first, that selective evaluation patterns produce unique acceptance profiles, and second, that a shift occurs from heterogeneous towards homogeneous evaluation patterns. In relation to decision rules guiding people's preference-making, the research reveals multiple mechanisms are at work when people express preferences about electricity portfolios. Five decision rules were identified regarding how participants dealt with complex portfolio information processing and preference building. - Highlights: • The evaluation basis of people's preferences comprises nine evaluation categories. • Evaluation patterns produce unique technology and portfolio acceptance profiles. • Five generic decision rules guide people's preference-making. • People make decisions in multiple ways using a variety of evaluation strategies. • No ‘one-size-fits-all’ approach for creating insights into the public's approval or rejection of technologies.

  14. The efficacy of a brief group CBT program in treating patients diagnosed with bulimia nervosa: a brief report

    DEFF Research Database (Denmark)

    Jones, A.; Clausen, Loa

    2013-01-01

    OBJECTIVE: The aim of the study was to evaluate the efficacy of a brief group cognitive behavior therapy (CBT) program in treating a large cohort of patients diagnosed with bulimia nervosa. METHOD: Treatment outcome defined as reductions in bulimia related behavioral symptoms and bulimia related...... distress was examined in 205 consecutive new patients enrolled in an eight-session group CBT program. RESULTS: Significant reductions in eating disorder pathology were found on all measures of bulimia related behavioral symptoms, as well as on all measures of bulimia related distress. DISCUSSION......: There is strong evidence for the efficacy of brief group CBT in treating patients with bulimia nervosa....

  15. Narrative Changes Predict a Decrease in Symptoms in CBT for Depression: An Exploratory Study.

    Science.gov (United States)

    Gonçalves, Miguel M; Silva, Joana Ribeiro; Mendes, Inês; Rosa, Catarina; Ribeiro, António P; Batista, João; Sousa, Inês; Fernandes, Carlos F

    2017-07-01

    Innovative moments (IMs) are new and more adjusted ways of thinking, acting, feeling and relating that emerge during psychotherapy. Previous research on IMs has provided sustainable evidence that IMs differentiate recovered from unchanged psychotherapy cases. However, studies with cognitive behavioural therapy (CBT) are so far absent. The present study tests whether IMs can be reliably identified in CBT and examines if IMs and symptoms' improvement are associated. The following variables were assessed in each session from a sample of six cases of CBT for depression (a total of 111 sessions): (a) symptomatology outcomes (Outcome Questionnaire-OQ-10) and (b) IMs. Two hierarchical linear models were used: one to test whether IMs predicted a symptom decrease in the next session and a second one to test whether symptoms in one session predicted the emergence of IMs in the next session. Innovative moments were better predictors of symptom decrease than the reverse. A higher proportion of a specific type of IMs-reflection 2-in one session predicted a decrease in symptoms in the next session. Thus, when clients further elaborated this type of IM (in which clients describe positive contrasts or elaborate on changes processes), a reduction in symptoms was observed in the next session. A higher expression and elaboration of reflection 2 IMs appear to have a facilitative function in the reduction of depressive symptoms in this sample of CBT. Copyright © 2016 John Wiley & Sons, Ltd. Elaborating innovative moments (IMs) that are new ways of thinking, feeling, behaving and relating, in the therapeutic dialogue, may facilitate change. IMs that are more predictive of amelioration of symptoms in CBT are the ones focused on contrasts between former problematic patterns and new adjusted ones; and the ones in which the clients elaborate on processes of change. Therapists may integrate these kinds of questions (centred on contrasts and centred on what allowed change from the client

  16. Combining Cognitive Behavioral Therapy with Contingency Management for Smoking Cessation in Adolescent Smokers: A Preliminary Comparison of Two Different CBT Formats

    Science.gov (United States)

    Cavallo, Dana A.; Cooney, Judith L.; Duhig, Amy M.; Smith, Anne E.; Liss, Thomas B.; McFetridge, Amanda K.; Babuscio, Theresa; Nich, Charla; Carroll, Kathleen M.; Rounsaville, Bruce J.; Krishnan-Sarin, Suchitra

    2013-01-01

    This pilot study evaluated the optimal format of cognitive behavioral therapy (CBT) to combine with contingency management (CM) in a four-week, high school-based smoking cessation program. Thirty-four adolescent smokers received a standard weekly version of CBT or a frequent brief behavioral intervention. Results indicate a trend toward a higher seven-day point prevalence end-of-treatment abstinence rate and percent days abstinent during treatment in the CBT condition. In addition, significantly more participants in the CBT group completed treatment. These preliminary results suggest that when combined with CM, the standard weekly format of CBT is more acceptable to adolescent smokers. PMID:18058412

  17. Improving Risk Governance of Emerging Technologies through Public Engagement: The Neglected Case of Nano-Remediation?

    DEFF Research Database (Denmark)

    Grieger, Khara Deanne; Wickson, Fern; Andersen, Henning Boje

    2012-01-01

    While public engagement is internationally considered to be crucial for successful governance of nanotechnologies (NT), it has not necessarily been clear what the relationship is (or should be) between these engagement efforts and the more traditional governance practice of scientific risk...... assessment. This paper therefore carries out a literature review to capture and analyse how governance strategies have focused on public engagement for NT and how such engagement relates to processes of risk analysis. To further investigate these issues, we focus on a specific NT application as a case study......: the use of nanoparticles for environmental remediation (nano-remediation). Through our review and analysis we find that the main approaches to incorporating public engagement into governance strategies have been the generation of a better understanding of public perceptions of NT and the setting...

  18. The adoption of appropriate technology in public housing and informal settlement upgrades in South Africa

    CSIR Research Space (South Africa)

    Rajab, Azra

    2016-07-01

    Full Text Available African households. In response to the challenge of informal settlements, emerging technologies and the social processes followed to implement them have made possible affordable access to basic services including in the areas of energy supply and waste...

  19. Information Technology Applications in Hospitality and Tourism: A Review of Publications from 2005 to 2007

    OpenAIRE

    Law, Rob; Leung, R.; Buhalis, Dimitrios

    2009-01-01

    The tourism and hospitality industries have widely adopted information\\ud technology (IT) to reduce costs, enhance operational efficiency, and most importantly to\\ud improve service quality and customer experience. This article offers a comprehensive review of\\ud articles that were published in 57 tourism and hospitality research journals from 2005 to 2007.\\ud Grouping the findings into the categories of consumers, technologies, and suppliers, the article\\ud sheds light on the evolution of IT...

  20. Scientific and technological information: analysis of periodic publications of information science

    OpenAIRE

    Mayara Cintya do Nascimento Vasconcelos; Gabriela Belmont de Farias

    2017-01-01

    The research analyzes the articles published in national scientific journals of the area of Information Science, classified with Qualis A1, having as parameter the term "scientific and technological information". It presents concepts about scientific and technological information and the processes that involve its uses, as well as scientific communication, information flows and sources of information. The methodology used is a descriptive study with a quantitative-qualitative approach, using ...

  1. Modelling Socio-Environmental Sensitivities: How Public Responses to Low Carbon Energy Technologies Could Shape the UK Energy System

    Science.gov (United States)

    Moran Jay, Brighid

    2014-01-01

    Low carbon energy technologies are not deployed in a social vacuum; there are a variety of complex ways in which people understand and engage with these technologies and the changing energy system overall. However, the role of the public's socio-environmental sensitivities to low carbon energy technologies and their responses to energy deployments does not receive much serious attention in planning decarbonisation pathways to 2050. Resistance to certain resources and technologies based on particular socio-environmental sensitivities would alter the portfolio of options available which could shape how the energy system achieves decarbonisation (the decarbonisation pathway) as well as affecting the cost and achievability of decarbonisation. Thus, this paper presents a series of three modelled scenarios which illustrate the way that a variety of socio-environmental sensitivities could impact the development of the energy system and the decarbonisation pathway. The scenarios represent risk aversion (DREAD) which avoids deployment of potentially unsafe large-scale technology, local protectionism (NIMBY) that constrains systems to their existing spatial footprint, and environmental awareness (ECO) where protection of natural resources is paramount. Very different solutions for all three sets of constraints are identified; some seem slightly implausible (DREAD) and all show increased cost (especially in ECO). PMID:24587735

  2. Modelling socio-environmental sensitivities: how public responses to low carbon energy technologies could shape the UK energy system.

    Science.gov (United States)

    Moran Jay, Brighid; Howard, David; Hughes, Nick; Whitaker, Jeanette; Anandarajah, Gabrial

    2014-01-01

    Low carbon energy technologies are not deployed in a social vacuum; there are a variety of complex ways in which people understand and engage with these technologies and the changing energy system overall. However, the role of the public's socio-environmental sensitivities to low carbon energy technologies and their responses to energy deployments does not receive much serious attention in planning decarbonisation pathways to 2050. Resistance to certain resources and technologies based on particular socio-environmental sensitivities would alter the portfolio of options available which could shape how the energy system achieves decarbonisation (the decarbonisation pathway) as well as affecting the cost and achievability of decarbonisation. Thus, this paper presents a series of three modelled scenarios which illustrate the way that a variety of socio-environmental sensitivities could impact the development of the energy system and the decarbonisation pathway. The scenarios represent risk aversion (DREAD) which avoids deployment of potentially unsafe large-scale technology, local protectionism (NIMBY) that constrains systems to their existing spatial footprint, and environmental awareness (ECO) where protection of natural resources is paramount. Very different solutions for all three sets of constraints are identified; some seem slightly implausible (DREAD) and all show increased cost (especially in ECO).

  3. Transdiagnostic group CBT vs. standard group CBT for depression, social anxiety disorder and agoraphobia/panic disorder: Study protocol for a pragmatic, multicenter non-inferiority randomized controlled trial.

    Science.gov (United States)

    Arnfred, Sidse M; Aharoni, Ruth; Hvenegaard, Morten; Poulsen, Stig; Bach, Bo; Arendt, Mikkel; Rosenberg, Nicole K; Reinholt, Nina

    2017-01-23

    Transdiagnostic Cognitive Behavior Therapy (TCBT) manuals delivered in individual format have been reported to be just as effective as traditional diagnosis specific CBT manuals. We have translated and modified the "The Unified Protocol for Transdiagnostic Treatment of Emotional Disorders" (UP-CBT) for group delivery in Mental Health Service (MHS), and shown effects comparable to traditional CBT in a naturalistic study. As the use of one manual instead of several diagnosis-specific manuals could simplify logistics, reduce waiting time, and increase therapist expertise compared to diagnosis specific CBT, we aim to test the relative efficacy of group UP-CBT and diagnosis specific group CBT. The study is a partially blinded, pragmatic, non-inferiority, parallel, multi-center randomized controlled trial (RCT) of UP-CBT vs diagnosis specific CBT for Unipolar Depression, Social Anxiety Disorder and Agoraphobia/Panic Disorder. In total, 248 patients are recruited from three regional MHS centers across Denmark and included in two intervention arms. The primary outcome is patient-ratings of well-being (WHO Well-being Index, WHO-5), secondary outcomes include level of depressive and anxious symptoms, personality variables, emotion regulation, reflective functioning, and social adjustment. Assessments are conducted before and after therapy and at 6 months follow-up. Weekly patient-rated outcomes and group evaluations are collected for every session. Outcome assessors, blind to treatment allocation, will perform the observer-based symptom ratings, and fidelity assessors will monitor manual adherence. The current study will be the first RCT investigating the dissemination of the UP in a MHS setting, the UP delivered in groups, and with depressive patients included. Hence the results are expected to add substantially to the evidence base for rational group psychotherapy in MHS. The planned moderator and mediator analyses could spur new hypotheses about mechanisms of change in

  4. Attachment as a predictor of non response to CBT treatment in children with anxiety disorders

    DEFF Research Database (Denmark)

    Walczak, Monika Anna; Esbjørn, Barbara Hoff; Breinholst, Sonja

    2017-01-01

    Children’s and parents’ attachment patterns have been linked with the presence of pediatric anxiety disorders. The present study examined the role of attachment in predicting cognitive behavior therapy (CBT) treatment outcomes. A total of 69 children aged 7–13 years were assessed using a semi......-structured interview, and treated with CBT. Differences between responders and nonresponders with regard to pretreatment characteristics were explored, and the predictive power of factors significantly different between groups was assessed using binominal logistic regression. Responders and nonresponders did...... not significantly differ with regard to child’s attachment to parent. Maternal attachment anxiety was found to be the strongest predictor of treatment outcome, remaining significant after controlling for symptoms severity. Results suggest that clinicians should pay more attention to how the relationships formed...

  5. Computer-based training (CBT) intervention reduces workplace violence and harassment for homecare workers.

    Science.gov (United States)

    Glass, Nancy; Hanson, Ginger C; Anger, W Kent; Laharnar, Naima; Campbell, Jacquelyn C; Weinstein, Marc; Perrin, Nancy

    2017-07-01

    The study examines the effectiveness of a workplace violence and harassment prevention and response program with female homecare workers in a consumer driven model of care. Homecare workers were randomized to either; computer based training (CBT only) or computer-based training with homecare worker peer facilitation (CBT + peer). Participants completed measures on confidence, incidents of violence, and harassment, health and work outcomes at baseline, 3, 6 months post-baseline. Homecare workers reported improved confidence to prevent and respond to workplace violence and harassment and a reduction in incidents of workplace violence and harassment in both groups at 6-month follow-up. A decrease in negative health and work outcomes associated with violence and harassment were not reported in the groups. CBT alone or with trained peer facilitation with homecare workers can increase confidence and reduce incidents of workplace violence and harassment in a consumer-driven model of care. © 2017 Wiley Periodicals, Inc.

  6. Factors Associated with Clinician Participation in TF-CBT Post-workshop Training Components.

    Science.gov (United States)

    Pemberton, Joy R; Conners-Burrow, Nicola A; Sigel, Benjamin A; Sievers, Chad M; Stokes, Lauren D; Kramer, Teresa L

    2017-07-01

    For proficiency in an evidence-based treatment (EBT), mental health professionals (MHPs) need training activities extending beyond a one-time workshop. Using data from 178 MHPs participating in a statewide TF-CBT dissemination project, we used five variables assessed at the workshop, via multiple and logistic regression, to predict participation in three post-workshop training components. Perceived in-workshop learning and client-treatment mismatch were predictive of consultation call participation and case presentation respectively. Attitudes toward EBTs were predictive of trauma assessment utilization, although only with non-call participants removed from analysis. Productivity requirements and confidence in TF-CBT skills were not associated with participation in post-workshop activities.

  7. Adding mindfulness to CBT programs for binge eating: a mixed-methods evaluation.

    Science.gov (United States)

    Woolhouse, Hannah; Knowles, Ann; Crafti, Naomi

    2012-01-01

    The current study investigated the effectiveness of a combined mindfulness-CBT group therapy program for women with binge eating problems. Questionnaires were completed by group participants pre-program (n = 30), post-program (n = 30) and 3 month follow-up (n = 28). Significant reductions between pre- and post-program scores were found on standardised measures assessing binge eating, dieting, and body image dissatisfaction, with all reductions maintained at follow-up. Qualitative interviews with 16 women following completion of the program revealed the value of mindfulness in improving eating behaviour through increased self-awareness. This exploratory study supports the value of adding mindfulness to the more commonly utilised CBT-based programs for binge eating.

  8. Using internet GIS technology for early warning, response and controlling the quality of the public health sector.

    Science.gov (United States)

    Ptochos, Dimitrios; Panopoulos, Dimitrios; Metaxiotis, Kostas; Askounis, Dimitrios

    2004-01-01

    Recent EU and Greek Government legislation highlights the need for the modernisation of the public health management system and the improvement of the overall health of EU citizens. In addition, the effusion of epidemics even in developed countries makes the need for the enhancement of public health services imperative. In order to best confront the above-described challenges, the National Technical University of Athens, in cooperation with the Greek Ministry of Health and Welfare and the European Commission (EC), designed and developed an integrated public health information network, named GEPIMI (Integrated Geographical System for EPIdemiological and other Medical Information), in the framework of a three-year pilot project. This pilot project, funded by Greek Ministry of Health and Welfare and the EC supported the Programme INTERREG II to establish an advanced and integrated web-based information system that can process and move information in real time, allowing public health authorities to monitor events at hundreds or thousands of public health facilities at once. The system is established among hospitals, primary healthcare authorities and health agents in Greece, Bulgaria, Albania, Fyrom, and Turkey. The project aims at demonstrating the best practices, prospects, applications and high potential of Telematics Healthcare Networks in Europe, with a view to promoting cooperation and interconnection between European communities in the field of Telematics Healthcare Applications. The GEPIMI System, implemented via an innovative web based system, constitutes a replication of a highly effective mechanism. It incorporates state-of-the-art technologies such as Geographic Information Systems (G.I.S.), web based databases, GPS, and Smart Card Technology and supports a variety of health-related web applications including early warning and response of epidemics, remote management of medical records, seamless healthcare coverage, comprehensive statistical analysis of

  9. Technological innovation and convergent journalism. Case study on the transformation process of Bavaria’s public broadcasting service

    Directory of Open Access Journals (Sweden)

    Klaus MEIER

    2017-01-01

    Full Text Available As a consequence of technological innovations and their social utilisation, media organisations and newsrooms are undergoing a fundamental transformation process. This article analyses the interrelations between technological innovations and the challenges of convergent journalism. Studies conducted on newsroom convergence to date set out from one-sided influences: They investigated the extent to which technical innovations determine the newsrooms, or whether journalistic structures and long-range trends are so strong as to largely obstruct the adoption of new technologies in journalism. Therefore technology — especially in studies carried out on newsroom convergence — is considered as an influencing factor on somehow resisting or non-resisting newsrooms. We broaden the scope of this investigation by considering that any such influence might not come exclusively from technology, but that impulses can come also from innovative newsrooms: technological gaps, wishes and obstacles are identified from the journalist's viewpoint and brought to the attention of the developers of newsroom technologies — on the basis of empirical research findings from a case study of Bavaria’s public broadcasting service, Bayerischer Rundfunk (BR. With its 5.000 employees, BR is one of Germany's largest media organisations. It is undergoing a fundamental and long-term convergence process. A variety of gaps, problems and wishes came to light from 25 in-depth interviews with journalists working on innovative projects. For example, criticism is expressed of complicated, partly unknown or non-existent networking of cross-media production systems. There is a desire for the increased use of consumer devices like smartphones in professional news production. There exists a creative potential for innovative solutions, but these are not comprehensively evaluated. To date, there has been no systematic implementation of the findings of innovative media projects in everyday

  10. Innovative assistive technology in Finnish public elderly-care services: a focus on productivity.

    Science.gov (United States)

    Melkas, Helinä

    2013-01-01

    The study investigates ways in which technology use may help municipalities improve productivity in elderly-care services. A case study of Finnish elderly-care services provides responses concerning impacts, decisions and options in technology use. The research data were collected during a 'smart home pilot' implemented in four housing service units. Over 60 assistive devices were introduced in the smart homes used during short-term housing periods. Both customers and care staff's experiences as well as processes related to the use of assistive devices were investigated on the basis of survey questionnaires, interviews and feedback. Assistive device-related operational processes were investigated with the help of concepts of 'resource focus', 'lost motion' and 'intermediate storage'. Four central operational processes were identified. Design and desirability as well as costs, such as opportunity costs of assistive devices were also a focus. Significant factors related to productivity were disclosed in this way. Technology use versus productivity needs to be 'circled' from the points of view of individual users, workplaces, service processes, and larger technology options. There must be long-term patience to introduce technology properly into use to produce positive impacts on productivity. Customers and care staff have an interlinked, vital role to play as decision-makers' informants.

  11. Parental Anxiety as a Predictor of Medication and CBT Response for Anxious Youth

    OpenAIRE

    Gonzalez, Araceli; Peris, Tara S.; Vreeland, Allison; Kiff, Cara J.; Kendall, Philip C.; Compton, Scott N.; Albano, Anne Marie; Birmaher, Boris; Ginsburg, Golda S.; Keeton, Courtney P.; March, John; McCracken, James; Rynn, Moira; Sherrill, Joel; Walkup, John T.

    2015-01-01

    The aim of this investigation was to evaluate how parental anxiety predicted change in pediatric anxiety symptoms across four different interventions: cognitive-behavioral therapy (CBT), medication (sertraline; SRT), their combination (COMB), and pill placebo. Participants were 488 youths (ages 7-17) with separation anxiety disorder, generalized anxiety disorder, and/or social phobia and their primary caregivers. Latent growth curve modeling assessed how pre-treatment parental trait anxiety s...

  12. Publications of the Fossil Energy Advanced Research and Technology Development Materials Program: April 1, 1993--March 31, 1995

    Energy Technology Data Exchange (ETDEWEB)

    Carlson, P.T. [comp.

    1995-04-01

    The objective of the Fossil Energy Advanced Research and Technology Development (AR and TD) Materials Program is to conduct research and development on materials for fossil energy applications, with a focus on the longer-term needs for materials with general applicability to the various fossil fuel technologies. The Program includes research aimed at a better understanding of materials behavior in fossil energy environments and on the development of new materials capable of substantial improvement in plant operations and reliability. The scope of the Program addresses materials requirements for all fossil energy systems, including materials for coal preparation, coal liquefaction, coal gasification, heat engines and heat recovery, combustion systems, and fuel cells. Work on the Program is conducted at national and government laboratories, universities, and industrial research facilities. This bibliography covers the period of April 1, 1993, through March 31, 1995, and is a supplement to previous bibliographies in this series. It is the intent of this series of bibliographies to list only those publications that can be conveniently obtained by a researcher through relatively normal channels. The publications listed in this document have been limited to topical reports, open literature publications in refereed journals, full-length papers in published proceedings of conferences, full-length papers in unrefereed journals, and books and book articles. 159 refs.

  13. Food formulation and not processing level: Conceptual divergences between public health and food science and technology sectors.

    Science.gov (United States)

    Botelho, R; Araújo, W; Pineli, L

    2018-03-04

    Observed changes in eating and drinking behaviors in economically developing countries are associated with increase of obesity and related chronic diseases. Researchers from field of public health (PH) have attributed this problem to food processing and have created new food classification systems to support their thesis. These classifications conceptually differ from processing level concepts in food science, and state to people that food processing is directly related to nutritional impact of food. Our work aims to compare the concept of food processing from the standpoint of food science and technology (FST) and public health and to discuss differences related to formulation or level of processing of products and their impact on nutritional quality. There is a misconception between food processing/unit operation/food technology and formulation or recipes. For the public health approach, classification is based on food products selection and the use of ingredients that results in higher consumption of sugar, sodium, fat, and additives, whereas in FST, processing level is based on the intensity and amount of unit operations to enhance shelf life, food safety, food quality, and availability of edible parts of raw materials. Nutritional quality of a product or preparation is associated with formulation/recipe and not with the level of processing, with few exceptions. The impact of these recommendations on the actual comprehension of food processing and quality must be considered by the population.

  14. Travels of the information highway: New media technology and public relations

    Directory of Open Access Journals (Sweden)

    Pavlik John V.

    2003-01-01

    Full Text Available The formation superhighway is perhaps best thought of as metaphor for the Emerging digital data networks that are rapidly encircling the globe. It is a mistake to think there will be just one information superhighway; there will be many, including the worldwide web of computer networks known as the Internet, the broadband packet-switched telecommunications network of optical fiber, coaxial cable and twisted pair capable of delivering video on demand and emerging technologies such as wireless communications, and direct broadcast satellite that will utilize compression techniques to provide digital interactive television and other new information services. It is also a mistake to expect the corporate spokespersons, government leaders and other technology advocates to deliver on all their promises; much of the promised technology is little more than vaporware, the term those in the computer industry use to describe much-anticipated but never delivered software packages.

  15. Public policy performance for social development: solar energy approach to assess technological outcome in Mexico City Metropolitan Area.

    Science.gov (United States)

    Arenas-Aquino, Angel Raúl; Matsumoto-Kuwabara, Y; Kleiche-Dray, M

    2017-11-01

    Mexico City Metropolitan Area (MCMA) is the most populated urban area in the country. In 2010, MCMA required 14.8% of total energy domestic demand, but greenhouse gas emissions accounted for 7.7% of domestic emissions. Mexico has massive renewable energy potential that could be harnessed through solar photovoltaic (PV) technology. The problem to explore is the relationship between local and federal public strategies in MCMA and their stance on energy transition concern, social empowerment, new technology appropriation, and the will to boost social development and urban sustainability. A public policy typology was conducted through instruments of State intervention approach, based on political agenda articulation and environmental local interactions. Social equality is encouraged by means of forthright funding and in-kind support and energy policies focus on non-renewable energy subsidies and electric transmission infrastructure investment. There is a lack of vision for using PV technology as a guiding axis for marginalized population development. It is essential to promote economic and political rearrangement in order to level and structure environmental governance. It is essential to understand people's representation about their own needs along with renewable energy.

  16. Evaluating the Intellectual Capital of Technology Transfer and Learning Public Services

    Directory of Open Access Journals (Sweden)

    Michele Grimaldi

    2013-03-01

    Full Text Available Since the rise of the knowledge‐based economy, many worldwide companies have begun to deal with different frameworks to manage and evaluate the performance of intellectual capital, especially in the area of knowledge management services. This paper presents a novel conceptual model aiming to support management in evaluating and prioritizing their intellectual capital competitive core competences. Based on the analytic hierarchy process, the model analyses interdependences among intellectual capital elements and determines the impacts of core competences on organizational performance. To validate the model, it is empirically applied in the Technology Transfer Unit of the Italian national agency for new technologies, energy and economic development.

  17. Dynamic relationships of therapist alliance and group cohesion in transdiagnostic group CBT for anxiety disorders.

    Science.gov (United States)

    Norton, Peter J; Kazantzis, Nikolaos

    2016-02-01

    Little is known about the temporal variability of the alliance-symptom change and cohesion-symptom change relationships over the course of group therapy. These questions were examined in a sample of 373 clients receiving a transdiagnostic cognitive behavior therapy (tCBT), which culled the principle research-supported mechanisms of change for anxiety disorders. The authors examined relationships between the client versions of the Working Alliance Inventory and Group Cohesion Scale in predicting subsequent symptom change, as assessed by the state scale of the State-Trait Anxiety Inventory. Alliance and cohesion were significant predictors of next session anxiety scores. The alliance was consistently associated with anxiety symptoms (rs = -.152 to -.198, ps cohesion only showed significant relationships with anxiety symptoms at Sessions 8 and 10 (Session 8, r = -.233, p = .020, and 10, r = -.236, p = .027). Alliance-anxiety relations remained constant, whereas cohesion-anxiety relations substantially increased from earlier to later sessions. Differences that were obtained in the relation of alliance and cohesion with anxiety symptoms suggests that these processes have different roles within group tCBT. If replicated, the present findings would suggest that the dynamic relationships between alliance and cohesion and symptoms within group CBT for anxiety disorders have been an important omission in process-outcome studies. (c) 2016 APA, all rights reserved).

  18. Development and Initial Validation of a Client-Rated MET-CBT Adherence Measure

    Directory of Open Access Journals (Sweden)

    Wendy R. Ulaszek

    2012-01-01

    Full Text Available Traditional mechanisms for rating adherence or fidelity are labor-intensive. We developed and validated a tool to rate adherence to Motivational Enhancement Therapy–-Cognitive Behavioral Treatment (MET-CBT through anonymous client surveys. The instrument was used to survey clients in 3 methadone programs over 2 waves. Explanatory and Confirmatory Factor Analyses were used to establish construct validity for both MET and CBT. Internal consistency based on Cronbach's alpha was within adequate range (α > 0.70 for all but 2 of the subscales in one of the samples. Consensus between clients’ ratings (r wg(j scores were in the range of 0.6 and higher, indicating a moderate to strong degree of agreement among clients’ ratings of the same counselor. These results suggest that client surveys could be used to measure adherence to MET-CBT for quality monitoring that is more objective than counselor self-report and less resource-intensive than supervisor review of taped sessions. However, additional work is needed to develop this scale.

  19. Competence feedback improves CBT competence in trainee therapists: A randomized controlled pilot study.

    Science.gov (United States)

    Weck, Florian; Kaufmann, Yvonne M; Höfling, Volkmar

    2017-07-01

    The development and improvement of therapeutic competencies are central aims in psychotherapy training; however, little is known about which training interventions are suitable for the improvement of competencies. In the current pilot study, the efficacy of feedback regarding therapeutic competencies was investigated in cognitive behavioural therapy (CBT). Totally 19 trainee therapists and 19 patients were allocated randomly to a competence feedback group (CFG) or control group (CG). Two experienced clinicians and feedback providers who were blind to the treatment conditions independently evaluated therapeutic competencies on the Cognitive Therapy Scale at five treatment times (i.e., at Sessions 1, 5, 9, 13, and 17). Whereas CFG and CG included regular supervision, only therapists in the CFG additionally received written qualitative and quantitative feedback regarding their demonstrated competencies in conducting CBT during treatment. We found a significant Time × Group interaction effect (η² = .09), which indicates a larger competence increase in the CFG in comparison to the CG. Competence feedback was demonstrated to be suitable for the improvement of therapeutic competencies in CBT. These findings may have important implications for psychotherapy training, clinical practice, and psychotherapy research. However, further research is necessary to ensure the replicability and generalizability of the findings.

  20. A randomized controlled trial comparing EMDR and CBT for obsessive-compulsive disorder.

    Science.gov (United States)

    Marsden, Zoe; Lovell, Karina; Blore, David; Ali, Shehzad; Delgadillo, Jaime

    2018-01-01

    This study aimed to evaluate eye movement desensitization and reprocessing (EMDR) as a treatment for obsessive-compulsive disorder (OCD), by comparison to cognitive behavioural therapy (CBT) based on exposure and response prevention. This was a pragmatic, feasibility randomized controlled trial in which 55 participants with OCD were randomized to EMDR (n = 29) or CBT (n = 26). The Yale-Brown obsessive-compulsive scale was completed at baseline, after treatment and at 6 months follow-up. Treatment completion and response rates were compared using chi-square tests. Effect size was examined using Cohen's d and multilevel modelling. Overall, 61.8% completed treatment and 30.2% attained reliable and clinically significant improvement in OCD symptoms, with no significant differences between groups (p > .05). There were no significant differences between groups in Yale-Brown obsessive-compulsive scale severity post-treatment (d = -0.24, p = .38) or at 6 months follow-up (d = -0.03, p = .90). EMDR and CBT had comparable completion rates and clinical outcomes. Copyright © 2017 John Wiley & Sons, Ltd.

  1. Evaluation of a Trauma-Focused CBT Training Programme for IAPT services.

    Science.gov (United States)

    Murray, Hannah

    2017-09-01

    Therapists in Improving Access to Psychological Therapies (IAPT) services are often expected to treat complex presentations of post-traumatic stress disorder (PTSD), such as individuals with multiple, prolonged or early life trauma histories and significant co-morbidity, for which they have received minimal training. Although high recovery rates for PTSD have been demonstrated in randomized controlled trials, these are not always replicated in routine practice, suggesting that training interventions are required to fill the research-practice gap. This study investigated the outcomes of a therapist training programme on treating PTSD with trauma-focused cognitive behavioural therapy (TF-CBT). Twenty therapists from ten IAPT services participated in the training, which consisted of workshops, webinars and consultation sessions over a 6-month period. Feedback indicated that participants found the training highly acceptable. PTSD knowledge and self- and supervisor-rated competence on TF-CBT measures improved following the training and improvements were maintained a year later. Client outcomes on a PTSD measure improved following the training. Participants reported attempts to disseminate learning from the course back to their teams. The findings indicate that the training programme was successful in improving TF-CBT knowledge, skills and outcomes for IAPT therapists. Tentative support for training 'trauma experts' within IAPT services was found, although institutional constraints and staff turnover may limit the sustainability of the model.

  2. Pedophilia: the problem with diagnosis and limitations of CBT in treatment.

    Science.gov (United States)

    Studer, Lea H; Aylwin, A Scott

    2006-01-01

    This paper asserts two main points. First, there is little reason to include pedophilia among the mental disorders of the Diagnostic and Statistical Manual (DSM). The diagnostic criteria as specified in the DSM-IV-TR (2000) are both over-inclusive in that all acts of child molestation warrant diagnosis, and under-inclusive in that individuals who have not acted upon, and who are not distressed by their sexual interest in children do not meet diagnostic criteria. On both sides of this debate there are problems. A diagnosis of pedophilia seems to "medicalize" an illegal behavior, or "criminalize" fantasy; depending on the diagnostic criteria used, or the use made of the diagnosis. Secondly, the typical CBT-based relapse prevention treatment for pedophilia, which represents current best practice, is reviewed. It is suggested that this, as a stand alone therapy, is suboptimal. CBT components are necessary but not sufficient for comprehensive therapy. It is imperative that process issues are given primacy in treatment programs. The common factors literature makes it clear that the therapeutic relationship is at least as potent a factor promoting change as the system or techniques that clinicians employ. Diagnosis per se is not required for adequate treatment of these individuals. For the CBT components, some offence specific information is required but that is a far cry from true diagnosis.

  3. A transdiagnostic comparison of enhanced cognitive behaviour therapy (CBT-E) and interpersonal psychotherapy in the treatment of eating disorders

    OpenAIRE

    Fairburn, Christopher G.; Bailey-Straebler, Suzanne; Basden, Shawnee; Doll, Helen A.; Jones, Rebecca; Murphy, Rebecca; O'Connor, Marianne E.; Cooper, Zafra

    2015-01-01

    Eating disorders may be viewed from a transdiagnostic perspective and there is evidence supporting a transdiagnostic form of cognitive behaviour therapy (CBT-E). The aim of the present study was to compare CBT-E with interpersonal psychotherapy (IPT), a leading alternative treatment for adults with an eating disorder. One hundred and thirty patients with any form of eating disorder (body mass index >17.5 to

  4. Increasing access to and utilization of cognitive behavioral therapy for insomnia (CBT-I): a narrative review.

    Science.gov (United States)

    Koffel, Erin; Bramoweth, Adam D; Ulmer, Christi S

    2018-04-04

    The American College of Physicians (ACP) recently identified cognitive behavioral therapy for insomnia (CBT-I) as the first-line treatment for insomnia. Although CBT-I improves sleep outcomes and reduces the risks associated with reliance on hypnotics, patients are rarely referred to this treatment, especially in primary care where most insomnia treatment is provided. We reviewed the evidence about barriers to CBT-I referrals and efforts to increase the use of CBT-I services. PubMed, PsycINFO, and Embase were searched on January 11, 2018; additional titles were added based on a review of bibliographies and expert opinion and 51 articles were included in the results of this narrative review. Implementation research testing specific interventions to increase routine and sustained use of CBT-I was lacking. Most research focused on pre-implementation work that revealed the complexity of delivering CBT-I in routine healthcare settings due to three distinct categories of barriers. First, system barriers result in limited access to CBT-I and behavioral sleep medicine (BSM) providers. Second, primary care providers are not adequately screening for sleep issues and referring appropriately due to a lack of knowledge, treatment beliefs, and a lack of motivation to assess and treat insomnia. Finally, patient barriers, including a lack of knowledge, treatment beliefs, and limited access, prevent patients from engaging in CBT-I. These findings are organized using a conceptual model to represent the many challenges inherent in providing guideline-concordant insomnia care. We conclude with an agenda for future implementation research to systematically address these challenges.

  5. FHWA Research and Technology Evaluation: Public-Private Partnership Capacity Building Program

    Science.gov (United States)

    2018-02-01

    This report details the evaluation of the Federal Highway Administrations Office of Innovative Program Delivery Public-Private Partnership (P3) Capacity Building Program (P3 Program). The evaluators focused on the P3 Programs P3 Toolkit as an e...

  6. Capitalizing on Knowledge from Public Research Institutions: Indications from New Technology-Based Firms in Japan

    Science.gov (United States)

    Lynskey, Michael J.

    2010-01-01

    Knowledge spillovers from universities and other public research institutions (PRIs) are viewed as essential for innovation. Previous studies examining the impact of such spillovers have been confined to the West, and there are no comparable studies using empirical data from Japan that explore the relationship between spillovers from PRIs and…

  7. Educational advertising of the public about the use of radiation sources in technology, research and medicine

    International Nuclear Information System (INIS)

    Stolar, A.

    2009-01-01

    At the latest since Tschernobyl the use of radiation sources and ionizing radiation is due to missing knowledge of the public not affected by popularity but rather by fear. But the question is, whether it would be necessary on the part of the radiation users, not to conceal or mythologise the use, but to emphasize on educational advertising. (orig.)

  8. Use before Know-How: Teaching with Technology in a Mexican Public School

    Science.gov (United States)

    Kalman, Judy; Rendón, Victor

    2014-01-01

    In recent years, the Secretariat of Public Education in Mexico has supplied a significant number of schools with computers and connectivity, putting important resources into the purchase and installation of equipment. It is assumed that teachers will somehow naturally transition to using these tools and in fact, new curricular guidelines derived…

  9. 76 FR 14010 - Public Workshop: Debt Collection 2.0: Protecting Consumers as Technologies Change

    Science.gov (United States)

    2011-03-15

    ... employees' practices, communicate with consumers, and receive payment on debts. The Commission examined... media networking sites.\\3\\ Facebook, which did not become available to the general public until 2006... people to network, communicate, or share information. Examples of social media sites include Facebook, My...

  10. Effectiveness of Technology in the Schools--Public and Taxpayers Response.

    Science.gov (United States)

    Morgan, Catherine E.

    Computers serve schools in several ways. In the business office they perform functions in payroll and accounting; they are the subject matter in the computer science courses that train students in skills that the coming technological lifestyle will make necessary; they permit effective instructional management; and they provide the means for…

  11. Enhancing Wellbeing of Adolescents via Persuasive eHealth Technology in ePublic Sexual Health

    NARCIS (Netherlands)

    Kulyk, Olga Anatoliyivna; van Gemert-Pijnen, Julia E.W.C.; David, Silke

    2013-01-01

    Background: Nowadays adolescents primarily use modern, often web-based technology, such as social media and mobile applications to find the answers on all kinds of questions about their health and healthcare services (Kulyk et al., 2013; van Velsen et al., 2013). National program Sense in the

  12. USSD technology a low cost asset in complementing public health workers’ work processes

    CSIR Research Space (South Africa)

    Zhou, M

    2015-04-01

    Full Text Available the quality of and access to healthcare services in low income countries in which residents are remotely dispersed and have limitations in accessing the internet. Unstructured Supplementary Service Data (USSD) technology has been used to perform mobile money...

  13. Knowledge Sharing and Dialogue among Information Technology Workers: A Case Study Using a Public Works Department

    Science.gov (United States)

    Harrison, Priscilla

    2013-01-01

    The problem addressed in this study is the willingness or reluctance of information technology (IT) knowledge workers and managers to share knowledge. The purpose of the study was to examine the willingness or unwillingness of technical personnel in IT to share technical knowledge and the issues surrounding their reluctance, if any. The study…

  14. Elementary Technology Demonstration Schools: The Third Year 1992-93. Publication Number 92.31.

    Science.gov (United States)

    Sabatino, Melissa

    The 1992-93 school year was the third year of the Elementary Technology Demonstration Schools program of the Austin (Texas) schools; the project is funded by International Business Machines Corporation (IBM) and Apple Computer Inc. Grants from these corporations were used to equip three elementary schools with IBM equipment and one with Apple…

  15. Review of the Human Resources, Finance, and Information Technology Operations of the Seattle Public Schools

    Science.gov (United States)

    Council of the Great City Schools, 2008

    2008-01-01

    In late 2007, the Council of the Great City Schools conducted a high-level management review of the school district's human resources, financial, and technology operations to: (1) Review and evaluate the leadership, management, organization, and operations of the respective departments; and (2) Develop recommendations and proposals that would…

  16. Technological Innovation and Beyond: Exploring Public Value of University Inventions Based on Contingent Effectiveness Model

    DEFF Research Database (Denmark)

    Milana, Evita; Li-Ying, Jason; Faria, Lourenco

    2017-01-01

    that are related with sustainability goals. In this paper, we apply the Contingent Effectiveness Model by Bozeman et.al. (2015) as a framework to consider the effectiveness of technology transfer from university to industry via licensing, and examine what values derive during the commercialization process...

  17. Assessing Roles of People, Technology and Structure in Emergency Management Systems: A Public Sector Perspective

    Science.gov (United States)

    Kim, Minkyun; Sharman, Raj; Cook-Cottone, Catherine P.; Rao, H. Raghav; Upadhyaya, Shambhu J.

    2012-01-01

    Emergency management systems are a critical factor in successful mitigation of natural and man-made disasters, facilitating responder decision making in complex situations. Based on socio-technical systems, have which four components (people, technology, structure and task), this study develops a research framework of factors affecting effective…

  18. Integrating Technology into Instruction at a Public University in Kyrgyzstan: Barriers and Enablers

    Science.gov (United States)

    Muhametjanova, Gulshat; Cagiltay, Kursat

    2016-01-01

    The purpose of this study was to determine enablers and barriers to the technology integration into education based on the example of the situation at the Kyrgyz-Turkish Manas University as reported by students and instructors. The study employed the mixed-methods research design, combining data obtained from 477 student and 57 instructor…

  19. Teaching and Learning in Public: Professional Development through Shared Inquiry. Technology, Education--Connections (TEC) Series

    Science.gov (United States)

    Sisk-Hilton, Stephanie

    2009-01-01

    This is the inspiring story of a group of teachers who used new technologies to document, analyze, and share an inquiry learning process together. The Supporting Knowledge Integration for Inquiry Practice (SKIIP) is an exciting new professional development model that brings together the strengths and benefits of several existing approaches:…

  20. Designing the public sphere: information technologies and the politics of mediation

    NARCIS (Netherlands)

    Verbeek, Peter P.C.C.; Floridi, Luciano

    2014-01-01

    After a few decades of living with Information and Communication Technologies, we have got so much used to their presence in our daily lives, that we hardly realize that the societal and cultural revolution they are causing has only just begun. While most discussions still focus on privacy issues

  1. The use of automated assessments in internet-based CBT: The computer will be with you shortly

    Directory of Open Access Journals (Sweden)

    Elizabeth C. Mason

    2014-10-01

    Full Text Available There is evidence from randomized control trials that internet-based cognitive behavioral therapy (iCBT is efficacious in the treatment of anxiety and depression, and recent research demonstrates the effectiveness of iCBT in routine clinical care. The aims of this study were to implement and evaluate a new pathway by which patients could access online treatment by completing an automated assessment, rather than seeing a specialist health professional. We compared iCBT treatment outcomes in patients who received an automated pre-treatment questionnaire assessment with patients who were assessed by a specialist psychiatrist prior to treatment. Participants were treated as part of routine clinical care and were therefore not randomized. The results showed that symptoms of anxiety and depression decreased significantly with iCBT, and that the mode of assessment did not affect outcome. That is, a pre-treatment assessment by a psychiatrist conferred no additional treatment benefits over an automated assessment. These findings suggest that iCBT is effective in routine care and may be implemented with an automated assessment. By providing wider access to evidence-based interventions and reducing waiting times, the use of iCBT within a stepped-care model is a cost-effective way to reduce the burden of disease caused by these common mental disorders.

  2. Public Perception and Acceptance of Hydrogen Technologies. An Exploratory Study; Percepcin y Aceptacion Publica de las Tecnologias del Hidrogeno. Un Estudio Exploratorio

    Energy Technology Data Exchange (ETDEWEB)

    German, S.; Navajas, J.

    2011-11-10

    This report presents the results of a research study with lay peoples perception regarding hydrogen technologies. This study aims to explore how to shape public perception and acceptance of hydrogen technologies in Spain and permits the identification of issues that may facilitate or interfere with its development and implementation. The results showed the existence of a large and widespread lack of knowledge towards hydrogen technologies. Hydrogen is perceived as a clean energy technology and nearby to renewable energies. However, it is still not seen as an energetic option. The main drawbacks perceived by lay people have been the lack of profitability, the slow evolution of the technology and the absence of technological developments. Furthermore, hydrogen cost and safety issues appear to play an important role in public acceptance of these technologies. (Author) 35 refs.

  3. Large Scale Cooling in Tertiary Central Europe as inferred by the MBT/CBT Paleothermometer

    Science.gov (United States)

    Bauersachs, T.; Schouten, S.; Schwark, L.

    2011-12-01

    Earth's climate experienced dramatic changes throughout the last 65 Ma. Starting at the Paleocene/Eocene thermal maximum, the global climate underwent a gradual cooling that eventually resulted in the glaciations in the Neogene. Most reconstructions of climate variability are derived from the marine realm using global deep sea oxygen isotope curves or molecular paleotemperature proxies. In contrast, only little information on the changes of the continental climate is available, which is mainly due to a lack of continuous high resolution records and suitable quantitative temperature proxies. The MBT/CBT paleothermometer is a novel temperature proxy based on temperature-driven changes in the branched glycerol dialkyl glycerol tetraether (GDGT) content of soil-living bacteria. These changes have been demonstrated to correlate well with ambient air temperature and the MBT/CBT proxy has thus been used to reconstruct paleotemperature records of terrestrial as well as coastal marine sediments (1). In this study, we employed the MBT/CBT paleothermometer on a number of maar lake deposits that - due to their exceptional well preserved organic matter content and finely-laminated sediments - comprise excellent archives of a continental climate. The analysed lacustrine deposits were all situated in the middle European Tertiary volcanic belt and ranged in age from the Early Eocene to the Late Oligocene, allowing for the detailed reconstruction of climate evolution of the Central European continent. Calculated mean annual air temperatures (MAAT) of the Messel oil shale, deposited during the Eocene climate optimum, averaged at 25 °C. This agrees well with previous temperature estimates based on paleontological observations, suggesting a paratropical climate in Eocene Central Europe with an average air temperature of ca. 25-30 °C (2). In contrast, to the green house period of the Early Eocene, the climate of the Oligocene was significantly cooler reflected by low MAAT of 8-15

  4. Transdiagnostic culturally adapted CBT with Farsi-speaking refugees: a pilot study.

    Science.gov (United States)

    Kananian, Schahryar; Ayoughi, Sarah; Farugie, Arieja; Hinton, Devon; Stangier, Ulrich

    2017-01-01

    Background : Approximately half of all asylum seekers suffer from trauma-related disorders requiring treatment, among them Posttraumatic Stress Disorder (PTSD), depression, anxiety, and somatic symptoms. There is a lack of easily accessible, low-threshold treatments taking the cultural background into account. Culturally Adapted CBT (CA CBT) is a well evaluated, transdiagnostic group intervention for refugees, using psychoeducation, meditation, and Yoga-like exercises. Objective: An uncontrolled pilot study with male Farsi-speaking refugees from Afghanistan and Iran was conducted to investigate feasibility with this ethnic group; a group for which no previous CBT trials have been reported. Method : The participants were nine Farsi-speaking, male refugees with M.I.N.I./DSM-IV diagnoses comprising PTSD, major depressive disorder, and anxiety disorders. Treatment components were adapted to the specific cultural framework of perception of symptoms, causes, ideas of healing, and local therapeutic processes. Before and after 12 weeks of treatment, the primary outcome was assessed using the General Health Questionnaire (GHQ-28). Secondary outcome measures were the Posttraumatic Checklist, Patient Health Questionnaire, Somatic Symptom Scale, World Health Organization Quality of Life Questionnaire (WHOQOL-BREF), Affective Style Questionnaire (ASQ), and Emotion Regulation Scale (ERS). Results : Seven participants completed treatment. In the completer analysis, improvements were found on almost all questionnaires. Large effect sizes were seen for the GHQ-28 ( d  = 2.0), WHOQOL-BREF scales ( d  = 1.0-2.3), ASQ tolerating subscale ( d  = 2.2), and ERS ( d  = 1.7). With respect to feasibility, cultural adaptation seemed to be a crucial means to promote effectiveness. Conclusion : CA CBT may reduce general psychopathological distress and improve quality of life. Improvement in emotion regulation strategies may mediate treatment effects. More support should be provided to

  5. Securing Public Safety Vehicles: Reducing Vulnerabilities by Leveraging Smart Technology and Design Strategies

    Science.gov (United States)

    2013-12-01

    and Hazardous Materials Safety Administration PSRC Public Sector Reporting Center RFID radio-frequency identification SDDCTEA Surface Deployment...National Preparedness Goal 2011, 2011, accessed October 28, 2013, http://www.fema.gov/media- library -data/20130726-1828-25045- 9470...Smartphone-to-Vehicle Communication Over Bluetooth,” Embedded Systems Letters, IEEE 5, no. 3 (2005). 40 Bob Violino, “What is RFID ?” RFID Journal (January

  6. Envisioning the future of public lighting with citizens for upcoming technologies

    OpenAIRE

    Heiskanen, Olli; Acharya, Karthikeya

    2017-01-01

    Today’s cities yearn for new technological infrastructure to become cities of tomorrow. Sensor based intelligent street lighting by promising energy and financial savings are being provisioned to be a functional alternative to conventional street lighting. But involving citizens’ participation in planning such new urban infrastructure and its services is far from simple. In our project using constructive and user centred design research methods we engaged with city officials and citizens as u...

  7. Costs of genetic testing: Supporting Brazilian Public Policies for the incorporating of molecular diagnostic technologies

    Directory of Open Access Journals (Sweden)

    Rosane Paixão Schlatter

    2015-09-01

    Full Text Available This study identifies and describes the operating costs associated with the molecular diagnosis of diseases, such as hereditary cancer. To approximate the costs associated with these tests, data informed by Standard Operating Procedures for various techniques was collected from hospital software and a survey of market prices. Costs were established for four scenarios of capacity utilization to represent the possibility of suboptimal use in research laboratories. Cost description was based on a single site. The results show that only one technique was not impacted by rising costs due to underutilized capacity. Several common techniques were considerably more expensive at 30% capacity, including polymerase chain reaction (180%, microsatellite instability analysis (181%, gene rearrangement analysis by multiplex ligation probe amplification (412%, non-labeled sequencing (173%, and quantitation of nucleic acids (169%. These findings should be relevant for the definition of public policies and suggest that investment of public funds in the establishment of centralized diagnostic research centers would reduce costs to the Public Health System.

  8. Cognitive-behavioral therapy (CBT) versus acceptance and commitment therapy (ACT) for dementia family caregivers with significant depressive symptoms: Results of a randomized clinical trial.

    Science.gov (United States)

    Losada, Andrés; Márquez-González, María; Romero-Moreno, Rosa; Mausbach, Brent T; López, Javier; Fernández-Fernández, Virginia; Nogales-González, Celia

    2015-08-01

    The differential efficacy of acceptance and commitment therapy (ACT) and cognitive-behavioral therapy (CBT) for dementia family caregivers' is analyzed through a randomized controlled trial. Participants were 135 caregivers with high depressive symptomatology who were randomly allocated to the intervention conditions or a control group (CG). Pre-, postintervention, and follow-up measurements assessed depressive symptomatology, anxiety, leisure, dysfunctional thoughts, and experiential avoidance. Depression: Significant effects of interventions compared with CG were found for CBT (p CBT (p = .02, d = 0.74, NNT = 9.71). Clinically significant change was observed in 26.7% participants in CBT, 24.2% in ACT, and 0% in CG. At follow-up, 10.53% in CBT and 4% in ACT were recovered (0% CG). Anxiety: At postintervention, ACT participants showed lower anxiety than CBT participants (p CBT, 36.36% in ACT, and 6.45% in CG showed clinically significant change. At follow-up, 26.32% in CBT, 36% in ACT, and 13.64% in CG were recovered. Significant changes at postintervention were found in leisure and dysfunctional thoughts in both ACT and CBT, with changes in experiential avoidance only for ACT. Similar results were obtained for ACT and CBT. ACT seems to be a viable and effective treatment for dementia caregivers. (c) 2015 APA, all rights reserved).

  9. A cluster randomised controlled trial to determine the clinical effectiveness and cost-effectiveness of classroom-based cognitive-behavioural therapy (CBT) in reducing symptoms of depression in high-risk adolescents.

    Science.gov (United States)

    Stallard, P; Phillips, R; Montgomery, A A; Spears, M; Anderson, R; Taylor, J; Araya, R; Lewis, G; Ukoumunne, O C; Millings, A; Georgiou, L; Cook, E; Sayal, K

    2013-10-01

    Depression in adolescents is a significant problem that impairs everyday functioning and increases the risk of severe mental health disorders in adulthood. Although this is a major problem, relatively few adolescents with, or at risk of developing, depression are identified and referred for treatment. This suggests the need to investigate alternative approaches whereby preventative interventions are made widely available in schools. To investigate the clinical effectiveness and cost-effectiveness of classroom-based cognitive-behavioural therapy (CBT) in reducing symptoms of depression in high-risk adolescents. Cluster randomised controlled trial. Year groups ( n = 28) randomly allocated on a 1 : 1 : 1 basis to one of three trial arms once all schools were recruited and balanced for number of classes, number of students, Personal, Social and Health Education (PSHE) lesson frequency, and scheduling of PSHE. Year groups 8 to 11 (ages 12-16 years) in mixed-sex secondary schools in the UK. Data were collected between 2009 and 2011. Young people who attended PSHE at participating schools were eligible ( n = 5503). Of the 5030 who agreed to participate, 1064 (21.2%) were classified as 'high risk': 392 in the classroom-based CBT arm, 374 in the attention control PSHE arm and 298 in the usual PSHE arm. Primary outcome data on the high-risk group at 12 months were available for classroom-based CBT ( n = 296), attention control PSHE ( n = 308) and usual PSHE ( n = 242). The Resourceful Adolescent Programme (RAP) is a focused CBT-based intervention adapted for the UK (RAP-UK) and delivered by two facilitators external to the school. Control groups were usual PSHE (usual school curriculum delivered by teachers) and attention control (usual school PSHE with additional support from two facilitators). Interventions were delivered universally to whole classes. Clinical effectiveness: symptoms of depression [Short Mood and Feelings Questionnaire (SMFQ)] in adolescents at high risk

  10. Bibliometrics of intraoperative radiotherapy. Analysis of technology, practice and publication tendencies

    Energy Technology Data Exchange (ETDEWEB)

    Sole, Claudio V. [Instituto de Radiomedicina, Service of Radiation Oncology, Santiago (Chile); School of Medicine Complutense University, Madrid (Spain); Institut Gustave Roussy, Department of Radiation Oncology, Paris (France); Calvo, Felipe A. [School of Medicine Complutense University, Madrid (Spain); Hospital General Universitario Gregorio Maranon, Department of Oncology, Madrid (Spain); Hospital General Universitario Gregorio Maranon, Institute for Sanitary Research, Madrid (Spain); Ferrer, Carlos [Hospital Provincial de Castellon, Institute of Oncology, Castellon de la Plana (Spain); Cardenal Herrera-CEU University, School of Medicine, Castellon de la Plana (Spain); Pascau, Javier [Hospital General Universitario Gregorio Maranon, Institute for Sanitary Research, Madrid (Spain); Marsiglia, Hugo [Institut Gustave Roussy, Department of Radiation Oncology, Paris (France)

    2014-12-15

    To analyze the performance and quality of intraoperative radiation therapy (IORT) publications identified in medical databases during a recent period in terms of bibliographic metrics. A bibliometric search was conducted for IORT papers published in the PubMed database between 1997 and 2013. Publication rate was used as a quantity indicator; the 2012 Science Citation Index Impact Factor as a quality indicator. Furthermore, the publications were stratified in terms of study type, scientific topic reported, year of publication, tumor type and journal specialty. We performed a one-way analysis of variance (ANOVA) to determine differences between the means of the analyzed groups. Among the total of 207 journals, articles were reported significantly more frequently in surgery (n = 399, 41 %) and radiotherapy journals (n = 273, 28 %; p < 0.01). The highest impact factor was achieved by clinical oncology journals (p < 0.01). The majority of identified articles were retrospective cohort reports (n = 622, 64 %), followed by review articles (n = 204, 21 %; p < 0.001). Regarding primary topic, reports on cancer outcome following specific tumor therapy were most frequently published (n = 661, 68 %; p < 0.001) and gained the highest mean impact factor (p < 0.01). Gastrointestinal tumor reports were represented most frequently (n = 456, 47 %; p < 0.001) and the mean superior impact factor was earned by breast and gynecologic publications (p < 0.01). We identified a consistent and sustained scientific productivity of international IORT expert groups. Most publications appeared in journals with surgical and radiooncological content. The highest impact factor was achieved by medical oncology journals. (orig.) [German] Ziel war es, in Form von bibliographischen Metriken die wissenschaftliche Effizienz und Qualitaet von Publikationen ueber die Anwendung intraoperativer Strahlentherapie (IORT) zu analysieren, die in einer bestimmten Zeitspanne in medizinischen Datenbanken gefunden

  11. The Technology Acceptance of a TV Platform for the Elderly Living Alone or in Public Nursing Homes

    Directory of Open Access Journals (Sweden)

    Pedro C. Santana-Mancilla

    2017-06-01

    Full Text Available In Mexico, many seniors are alone for most of the day or live in public nursing homes. Simple interaction with computer systems is required for older people. This is why we propose the exploration of a medium well known by seniors, such as the television (TV. The primary objective of this study is to improve the quality of life of seniors through an easier reminder system, using the television set. A technological platform was designed based on interactive television, through which seniors and their caregivers can have a better way to track their daily activities. Finally, an evaluation of the technology adoption was performed with 50 seniors living in two public nursing homes. The evaluation found that the elderly perceived the system as useful, easy to use, and they had a positive attitude and good intention to use it. This helped to generate initial evidence that the system supported them in achieving a better quality of life, by reminding them to take their medications and increasing their rate of attendance to their medical appointments.

  12. Technological innovations and public politics: social environmental analyses in the context of sugar-ethanol industrial activities in Brazil

    Directory of Open Access Journals (Sweden)

    Charlene Maria C. de Ávila Plaza

    2008-08-01

    Full Text Available The present article aims at discussing the importance of the technological innovations as propellers of the economic development of the nations as well as the role of the public politics directed toward the socioeconomics and institutional agents who are a part of the productive and innovative chain of the country. We try to analyze the sugar-ethanol sector and its consequences concerning the environmental aspects, being emphasized the State of Goiás and the “Cerrado” bioma. In the social aspects, we demonstrate the necessity to conciliate economic development with social-environmental sustainability, to propitiate a healthy environment and improvement of the working conditions and life for the citizens who perform the functions of sugar cane cutters of this sector. It is important to emphasize that the article does not intend to underestimate the economic practices of the sugar-ethanol companies, but to analyze certain aspects concerning the environment and the social factor, so that consistent politics is implemented in order to promote sustainability, balanced with enterprise and governmental responsibilities and commitments allied to the tripod: economy, environment and society. Key-words: Technological innovation; Public Politics; Sustainable Development; Sugar-ethanol Sector; Biofuels

  13. Developments in Participatory Design of Health Information Technology - A Review of PDC Publications from 1990-2016.

    Science.gov (United States)

    Kanstrup, Anne Marie; Madsen, Jacob; Nøhr, Christian; Bygholm, Ann; Bertelsen, Pernille

    2017-01-01

    The landscape of Participatory Design (PD) of Health Information Technology (HIT) is diverse and constantly evolving. This paper reviews the publications in the proceedings from the Participatory Design Conferences (PDCs) that have been held every two years since 1990. We used the Matrix Method to identify, describe and synthesise HIT publications from the proceedings. A total of 47 papers were included in the review and analysed in relation to six themes. The analysis reveals a significant volume of HIT research at PDCs, with a large amount of attention to digitalisation of health information, work procedures, records, secondary healthcare and health professionals. However, the analysis also shows a development from a primary focus on health workers and hospitals to a recent attention on HIT in everyday life and PD with patients, relatives, neighbourhoods and citizens in general. Additionally, the review shows a growing number of PD methods being applied. This paper concludes that research on PD and HIT appears to be maturing and developing with ongoing technological and societal development.

  14. The Technology Acceptance of a TV Platform for the Elderly Living Alone or in Public Nursing Homes.

    Science.gov (United States)

    Santana-Mancilla, Pedro C; Anido-Rifón, Luis E

    2017-06-08

    In Mexico, many seniors are alone for most of the day or live in public nursing homes. Simple interaction with computer systems is required for older people. This is why we propose the exploration of a medium well known by seniors, such as the television (TV). The primary objective of this study is to improve the quality of life of seniors through an easier reminder system, using the television set. A technological platform was designed based on interactive television, through which seniors and their caregivers can have a better way to track their daily activities. Finally, an evaluation of the technology adoption was performed with 50 seniors living in two public nursing homes. The evaluation found that the elderly perceived the system as useful, easy to use, and they had a positive attitude and good intention to use it. This helped to generate initial evidence that the system supported them in achieving a better quality of life, by reminding them to take their medications and increasing their rate of attendance to their medical appointments.

  15. A comparison of the technological, economic, public policy, and environmental factors of HVDC and HVAC interregional transmission

    Directory of Open Access Journals (Sweden)

    Armando L. Figueroa-Acevedo

    2015-02-01

    Full Text Available The design of an interregional high-voltage transmission system in the US is a revolutionary technological concept that will likely play a significant role in the planning and operation of future electric power systems. Historically, the primary justification for building interregional high-voltage transmission lines in the US and around the world has been based on economic and reliability criteria. Today, the implementation renewable portfolio standards, carbon emission regulations, the improvements in the performance of power electronic systems, and unused benefits associated with capacity exchange during times of non-coincident peak demand, are driving the idea of designing an interregional high-voltage transmission system in the US. However, there exist challenges related to technical, economic, public policy, and environmental factors that hinder the implementation of such a complex infrastructure. The natural skepticism from many sectors of the society, in regards to how will the system be operated, how much will it cost, and the environmental impact that it could potentially create are among the most significant challenges to its rapid implementation. This publication aims at illustrating the technological, environmental, economic, and policy challenges that interregional HV transmission systems face today in the US, looking specifically at the Clean Line Rock Island project in Iowa.

  16. Institutions and Technological Learning: Public-Private Linkages in Agricultural Research in Brazil and Argentina

    Directory of Open Access Journals (Sweden)

    Marcos Paulo Fuck

    2009-07-01

    Full Text Available The article discusses the institutional arrangements and forms of organization of agricultural research in Brazil and Argentina. The analysis focuses on Embrapa in the Brazilian case and INTA in the Argentinian case. Emphasis is laid on the two institutions’ policies regarding intellectual property and technology transfer. The aim is to contribute to the debate about how to conceptualize the co-evolution of organizations considering the technical, scientific, legal, regulatory, economic and other contexts in which they operate, reinforcing the idea of learning and that economic institutions do not just evolve but co-evolve.

  17. Living and ageing in the technological landscapes of homes and public places - an international perspective

    DEFF Research Database (Denmark)

    Helle, Tina; Kottorp, Anders; Gudetti, Susanne

    and social activities (Nygård and Kottorp, 2014, Nygard et al., 2012). These relationships are indicators of the significance of being able to use ET for managing daily life activities, especially outside the home among older people. Recently there has been increased emphasis on accessibility......Introduction/Scope: The increasing complexity and use of everyday technology has facilitated the performance of many daily life activities but also made them more complex and demanding (Patomella et al., 2013). Decreased perceived ability to use ET is also related to limited engagement in IADL...

  18. Role of information technology (IT) in public health, India (problems & prospects): Role of information communication technology (ICT) in disease surveillance under Integrated Disease Surveillance Project (IDSP).

    Science.gov (United States)

    Sharma, Rajeev; Luthra, Pallavi; Karad, Amit; Dhariwal, A C; Ichhpujani, R L; Lal, Shiv

    2010-06-01

    Information Communication Technology (ICT) has proven to be a strong public health tool. Keeping the future need of country and building National Disease Surveillance System, Integrated Disease Surveillance Project (IDSP) was launched by Hon'ble Union Minister of Health & Family Welfare in November 2004. It is a decentralized, State based surveillance program in the country. It is intended to detect early warning signals of impending outbreaks and help initiate an effective response in a timely manner. One of the major components of the project is the - use of Information Technology for collection, collation, compilation, analysis and dissemination of data besides distance education and video conferencing. A network of 800 sites across India has been established through Satellite, Broadband and High end Video conferencing equipments. The network is managed by a team of data managers and data entry operators at all state surveillance units and district surveillance units respectively. The network was proven to be extremely useful to respond to the current influenza A H1N1 pandemic. It is proposed to extend the network to cover private sector and provide convergence with other National Health Programs.

  19. Innovative Methods for the Benefit of Public Health Using Space Technologies for Disaster Response.

    Science.gov (United States)

    Dinas, Petros C; Mueller, Christian; Clark, Nathan; Elgin, Tim; Nasseri, S Ali; Yaffe, Etai; Madry, Scott; Clark, Jonathan B; Asrar, Farhan

    2015-06-01

    Space applications have evolved to play a significant role in disaster relief by providing services including remote sensing imagery for mitigation and disaster damage assessments; satellite communication to provide access to medical services; positioning, navigation, and timing services; and data sharing. Common issues identified in past disaster response and relief efforts include lack of communication, delayed ordering of actions (eg, evacuations), and low levels of preparedness by authorities during and after disasters. We briefly summarize the Space for Health (S4H) Team Project, which was prepared during the Space Studies Program 2014 within the International Space University. The S4H Project aimed to improve the way space assets and experiences are used in support of public health during disaster relief efforts. We recommend an integrated solution based on nano-satellites or a balloon communication system, mobile self-contained relief units, portable medical scanning devices, and micro-unmanned vehicles that could revolutionize disaster relief and disrupt different markets. The recommended new system of coordination and communication using space assets to support public health during disaster relief efforts is feasible. Nevertheless, further actions should be taken by governments and organizations in collaboration with the private sector to design, test, and implement this system.

  20. Mobilization of energy and space technology (The Durand Lecture for Public Service, AIAA)

    Science.gov (United States)

    Seamans, R. C., Jr.

    1986-04-01

    Energy developments in the U.S. from 1973-86 are discussed with an eye to the role of governement and the lessons learned from the Apollo project. The 1973 oil embargo spurred Federal actions to manage national energy resources, plan for crises, promote energy efficiency and explore new energy sources. Initiatives included guaranteed loans and cost-sharing with business through the Synthetic Fuels Corporation, speed limits, tax credits for renewable energy and energy conservation projects, etc. Plans for energy independence for the U.S. by 1980 did not account for the complexity of the energy production, transport, storage and use system. Fuel consumption trends of the main demand centers, transportation, private dwellings, commercial buildings, and manufacturing, are now monitored with data gathered by the DOE Energy Information Agency. It is asserted that coal is favored by utilities due to the need to reduce the burning of oil and gas, the unsure future of nuclear power, and the availability of indigenous fuel supply. The Apollo project revealed the benefits that can accrue to private enterprise from massive government investments in cutting-edge technologies, and provides a lesson that continued funding is necessary to ensure the identification, effectiveness and large scale implementation of alternative energy technologies before the next fuel crisis.

  1. Science, information, technology, and the changing character of public policy in non-point source pollution

    Science.gov (United States)

    King, John L.; Corwin, Dennis L.

    Information technologies are already delivering important new capabilities for scientists working on non-point source (NPS) pollution in the vadose zone, and more are expected. This paper focuses on the special contributions of modeling and network communications for enhancing the effectiveness of scientists in the realm of policy debates regarding NPS pollution mitigation and abatement. The discussion examines a fundamental shift from a strict regulatory strategy of pollution control characterized by a bureaucratic/technical alliance during the period through the 1970's and early 1980's, to a more recently evolving paradigm of pluralistic environmental management. The role of science and scientists in this shift is explored, with special attention to the challenges facing scientists working in NPS pollution in the vadose zone. These scientists labor under a special handicap in the evolving model because their scientific tools are often times incapable of linking NPS pollution with individuals responsible for causing it. Information can facilitate the effectiveness of these scientists in policy debates, but not under the usual assumptions in which scientific truth prevails. Instead, information technology's key role is in helping scientists shape the evolving discussion of trade-offs and in bringing citizens and policymakers closer to the routine work of scientists.

  2. WorldWide Telescope and Google Sky: New Technologies to Engage Students and the Public

    Science.gov (United States)

    Landsberg, R. H.; Subbarao, M. U.; Dettloff, L.

    2010-08-01

    New, visually rich, astronomical software environments coupled with large web-accessible data sets hold the promise of new and exciting ways to teach, collaborate, and explore the universe. These freeware tools provide contextual views of astronomical objects, real time access to multi-wavelength sky surveys, and, most importantly, the ability to incorporate new data and to produce user created content. This interactive panel examined the capabilities of Google Sky and WorldWide Telescope, and explored case studies of how these tools have been used to create compelling and participatory educational experiences in both formal (i.e., K-12 and undergraduate non-science majors classrooms), and informal (e.g., museum) settings. The overall goal of this session was to stimulate a discussion about future uses of these technologies. Substantial time was allotted for participants to create conceptual designs of learning experiences for use at their home institutions, with feedback provided by the panel members. Activities included technical discussions (e.g., mechanisms for incorporating new data and dissemination tools), exercises in narrative preparation, and a brainstorming session to identify potential future uses of these technologies.

  3. Status of clean vehicle technologies and impact of the accompanying public policies; Etat des filieres de vehicules propres et impact des politiques publiques d'accompagnement

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2003-06-01

    The French inter-ministry committee for clean vehicles (CIVP) published in 1999 a report about the status of development of the different clean vehicle technologies (electric-powered, LPG-fueled, natural gas fueled, hybrid, fuel cells) and accompanied by recommendations for public policies. A re-evaluation of these technologies was planned by the end of 2002 and is the purpose of this document. The first part makes a status of the actions carried out by the public authorities since the previous CIVP report. The second part presents the present day situation of the LPG, natural gas and electric technologies. It describes also the recent advances in the classical technologies (gasoline and diesel engines) and includes a part about battery technologies and about the use of bio-fuels. The status of each technology is presented both for France and for foreign countries and with its perspectives of evolution. (J.S.)

  4. The Relationship of Health Literacy With Use of Digital Technology for Health Information: Implications for Public Health Practice.

    Science.gov (United States)

    Manganello, Jennifer; Gerstner, Gena; Pergolino, Kristen; Graham, Yvonne; Falisi, Angela; Strogatz, David

    An understanding of the association of health literacy with patterns related to access and usage of digital technologies and preferences for sources of health information is necessary for public health agencies and organizations to appropriately target channels for health information dissemination. A cross-sectional telephone survey was conducted in New York State. Health literacy was assessed using the Morris Single-Item Screener, a self-report question. A weighted analysis was conducted utilizing Stata/SE. The final sample size of New York State residents used for analysis was 1350. In general, self-report health literacy did not predict digital technology use (ie, Internet and smartphone use, text messaging) but was associated with certain digital activities. People with low self-report health literacy were less likely to use search engines (P = .026) but more likely to get health information from social networking sites (P = .002) and use health-related phone apps (P = .046). With respect to health information seeking, those with lower self-report health literacy reported greater difficulty with their most recent search for health information. Furthermore, they were more likely to prefer text messages (P = .013) and radio (P = .022), 2 text-limited communication channels, to receive health information than those with higher self-report health literacy. While self-report health literacy does not appear to influence access to and use of digital technologies, there is a strong association with experiences searching for health information and preferences for health information sources. Public health agencies and organizations should consider the needs and preferences of people with low health literacy when determining channels for health information dissemination. They should also consider implementing interventions to develop health information-seeking skills in populations they serve and prepare information and materials that are easily accessible and

  5. Technological integration in Brazilian public basic education: an analysis of the temporal evolution and the interdisciplinarity of the theme

    Directory of Open Access Journals (Sweden)

    Priscila Cadorin Nicolete

    2016-12-01

    Full Text Available The complexity inherent to technological integration in the context of basic education in the current reality of the students and the digital culture that permeates society today features a transformation in the dynamics of knowledge construction. It is difficult to connect students, fully involving them in this process when using traditional teaching and learning methods. This new context requires interdisciplinary research for better understanding, involving experts in the field of sciences and more technical areas such as engineering and computer science. To answer the question of how to handle the evolution of interdisciplinary theoretical and empirical studies related to the subject, it was developed a survey in order to understand the evolution, interdisciplinarity and the theoretical and empirical variables related to the integration of technologies in the Brazilian basic education. This article presents the results of the exploratory survey of systematic review procedures of literature in electronic databases, then bibliometric and descriptive analyzes. Among the obtained results, were identified as strategies for the integration of technologies in Brazilian public basic education: Remote Experimentation for Physics, Mobile Learning and Software teaching for practices in Mathematics classes. The studies are divided into six large areas of knowledge: Social Sciences, Decision Science, Computer Science, Engineering, Business and Mathematics, demonstrating the interdisciplinarity of the theme.

  6. Evaluating public education messages aimed at monitoring and responding to social interactive technology on smartphones among young drivers.

    Science.gov (United States)

    Gauld, Cassandra S; Lewis, Ioni; White, Katherine M; Fleiter, Judy J; Watson, Barry

    2017-07-01

    Young drivers are more likely than any other age group to access social interactive technology (e.g., Facebook, E-mail) on a smartphone while driving. The current study formed part of a larger investigation and was guided by The Step Approach to Message Design and Testing (SatMDT) to evaluate the relative effectiveness of three different public education messages aimed at reducing smartphone use among young drivers. The messages were each adapted to the specific behaviours of monitoring/reading and responding to social interactive technology on smartphones. Participants (n=288; 199F, 89M) were drivers aged 17-25 years who resided in the Australian state of Queensland. Message acceptance (i.e., intention and effectiveness) and message rejection were both assessed using a self-report survey. Multivariate analyses found that, overall, the messages targeting monitoring/reading behaviour were considered more effective than those targeting responding behaviour. The message that challenged the underlying motivation that believing you are a good driver makes it easier to monitor/read social interactive technology while driving was considered particularly effective by young male drivers. Copyright © 2017 Elsevier Ltd. All rights reserved.

  7. Enhancing CBT for Chronic Insomnia: A Randomised Clinical Trial of Additive Components of Mindfulness or Cognitive Therapy.

    Science.gov (United States)

    Wong, Mei Yin; Ree, Melissa J; Lee, Christopher W

    2016-09-01

    Although cognitive behavioural therapy (CBT) for insomnia has resulted in significant reductions in symptoms, most patients are not classified as good sleepers after treatment. The present study investigated whether additional sessions of cognitive therapy (CT) or mindfulness-based therapy (MBT) could enhance CBT in 64 participants with primary insomnia. All participants were given four sessions of standard CBT as previous research had identified this number of sessions as an optimal balance between therapist guidance and patient independence. Participants were then allocated to further active treatment (four sessions of CT or MBT) or a no further treatment control. The additional treatments resulted in significant improvements beyond CBT on self-report and objective measures of sleep and were well tolerated as evidenced by no dropouts from either treatment. The effect sizes for each of these additional treatments were large and clinically significant. The mean scores on the primary outcome measure, the Insomnia Severity Index, were 5.74 for CT and 6.69 for MBT, which are within the good-sleeper range. Treatment effects were maintained at follow-up. There were no significant differences between CT and MBT on any outcome measure. These results provide encouraging data on how to enhance CBT for treatment of insomnia. Copyright © 2015 John Wiley & Sons, Ltd. CBT treatments for insomnia can be enhanced using recent developments in cognitive therapy. CBT treatments for insomnia can be enhanced using mindfulness-based treatments. Both cognitive therapy and mindfulness produce additional clinically significant change. Copyright © 2015 John Wiley & Sons, Ltd.

  8. The integration of barcode scanning technology into Canadian public health immunization settings.

    Science.gov (United States)

    Pereira, Jennifer A; Quach, Susan; Hamid, Jemila S; Quan, Sherman D; Diniz, Amanda Jane; Van Exan, Robert; Malawski, Jeffrey; Finkelstein, Michael; Samanani, Salim; Kwong, Jeffrey C

    2014-05-13

    As part of a series of feasibility studies following the development of Canadian vaccine barcode standards, we compared barcode scanning with manual methods for entering vaccine data into electronic client immunization records in public health settings. Two software vendors incorporated barcode scanning functionality into their systems so that Algoma Public Health (APH) in Ontario and four First Nations (FN) communities in Alberta could participate in our study. We compared the recording of client immunization data (vaccine name, lot number, expiry date) using barcode scanning of vaccine vials vs. pre-existing methods of entering vaccine information into the systems. We employed time and motion methodology to evaluate time required for data recording, record audits to assess data quality, and qualitative analysis of immunization staff interviews to gauge user perceptions. We conducted both studies between July and November 2012, with 628 (282 barcoded) vials processed for the APH study, and 749 (408 barcoded) vials for the study in FN communities. Barcode scanning led to significantly fewer immunization record errors than using drop-down menus (APH study: 0% vs. 1.7%; p=0.04) or typing in vaccine data (FN study: 0% vs. 5.6%; pnurses were interviewed; all noted improved record accuracy with scanning, but the majority felt that a more sensitive scanner was needed to reduce the occasional failures to read the 2D barcodes on some vaccines. Entering vaccine data into immunization records through barcode scanning led to improved data quality, and was generally well received. Further work is needed to improve barcode readability, particularly for unit-dose vials. Copyright © 2013 The Authors. Published by Elsevier Ltd.. All rights reserved.

  9. Assessment of regulations set up under public law concerning questions of safety technology

    International Nuclear Information System (INIS)

    Steiff, A.; Althaus, W.; Dietz, B.; Gross, H.J.; Stasiczek, M.; Salzwedel, J.; Reinhardt, M.

    1992-02-01

    A goal of the preliminary study was to assess the need for a data-processing system, to analyze the goals of such a system, to conceptualize it and examine possibilities for implementing it and to do a cost-benefit analysis of it. It serves as a means of assistance for - licensing and supervisory authorities, - the manufacturers and operators of plants, - the control institutions, - the communes, the governments of the Laender and the federal government, - trade associations and professional associations, - employers' organizations and employees' organizations in their efforts to solve problems and carry out tasks regarding safety technology. Such problems arise during the planning, construction, operation, alteration, closure and removal of plants as well as during the transport and storing of materials and goods. (orig./DG) [de

  10. Rational-emotive and cognitive-behavior therapy (REBT/CBT) versus pharmacotherapy versus REBT/CBT plus pharmacotherapy in the treatment of major depressive disorder in youth; a randomized clinical trial.

    Science.gov (United States)

    Iftene, Felicia; Predescu, Elena; Stefan, Simona; David, Daniel

    2015-02-28

    Major depressive disorder is a highly prevalent and debilitating condition in youth, so developing efficient treatments is a priority for mental health professionals. Psychotherapy (i.e., cognitive behavioral therapy/CBT), pharmacotherapy (i.e., SSRI medication), and their combination have been shown to be effective in treating youth depression; however, the results are still mixed and there are few studies engaging multi-level analyses (i.e., subjective, cognitive, and biological). Therefore, the aims of this randomized control study (RCT) were both theoretical - integrating psychological and biological markers of depression in a multi-level outcome analysis - and practical - testing the generalizability of previous results on depressed Romanian youth population. Eighty-eight (N=88) depressed Romanian youths were randomly allocated to one of the three treatment arms: group Rational Emotive Behavior Therapy (REBT)/CBT (i.e., a form of CBT), pharmacotherapy (i.e., sertraline), and group REBT/CBT plus pharmacotherapy. The results showed that all outcomes (i.e., subjective, cognitive, and biological) significantly change from pre to post-treatment under all treatment conditions at a similar rate and there were no significant differences among conditions at post-test. In case of categorical analysis of the clinical response rate, we found a non-significant trend favoring group REBT/CBT therapy. Results of analyses concerning outcome interrelations are discussed. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  11. CBT/DBT skills training for adults with attention deficit hyperactivity disorder (ADHD).

    Science.gov (United States)

    Cole, Pierre; Weibel, Sebastien; Nicastro, Rosetta; Hasler, Roland; Dayer, Alexandre; Aubry, Jean-Michel; Prada, Paco; Perroud, Nader

    2016-09-01

    Attention deficit hyperactivity disorder (ADHD) is associated with marked impairments in familial, social, and professional functioning. Although stimulant treatments can be effective in adult ADHD, some patients will respond poorly or not at all to medication. Previous studies demonstrated that cognitive behavioural therapy- (CBT) and dialectical behavior therapy- (DBT) oriented interventions are effective in reducing the burden of the disease, which is mainly marked by depression, interpersonal difficulties, low self-esteem, and low quality of life. In order to determine the effectiveness of this intervention, we assessed the benefits of a CBT/DBT programme to reduce residual symptoms and help patients improve their quality of life. 49 ADHD-patients, poor responders to medication, were enrolled in a one-year programme where they received individual therapy, associated with weekly sessions of group therapy with different modules: Mindfulness, Emotion Regulation, Interpersonal Effectiveness and Distress Tolerance, Impulsivity/Hyperactivity and Attention. Each subject was assessed at baseline, at months 3 and 6, and at the end of the treatment for ADHD severity (ASRS v1.1), depression severity (BDI-II), hopelessness (BHS), mindfulness skills (KIMS), anger expression and control (STAXI), impulsivity (BIS-11), quality of life (WHOQOL-BREF), and social functioning (QFS). The 49 ADHD patients were compared with 13 ADHD subjects on a waiting list. Linear mixed models were used to measure response to treatment. Overall, the psychotherapeutic treatment was associated with significant improvements in almost all dimensions. The most significant changes were observed for BDI-II (b=-0.30; pADHD patients showed a better, albeit non-significant, pattern of response. Individual and structured psycho-educational DBT/CBT groups support existing data suggesting that a structured psychotherapeutic approach is useful for patients who respond partially or not at all to drug therapy.

  12. Methods, strategies and technologies used to conduct a scoping literature review of collaboration between primary care and public health.

    Science.gov (United States)

    Valaitis, Ruta; Martin-Misener, Ruth; Wong, Sabrina T; MacDonald, Marjorie; Meagher-Stewart, Donna; Austin, Patricia; Kaczorowski, Janusz; O-Mara, Linda; Savage, Rachel

    2012-07-01

    This paper describes the methods, strategies and technologies used to conduct a scoping literature review examining primary care (PC) and public health (PH) collaboration. It presents challenges encountered as well as recommendations and 'lessons learned' from conducting the review with a large geographically distributed team comprised of researchers and decision-makers using an integrated knowledge translation approach. Scoping studies comprehensively map literature in a specific area guided by general research questions. This methodology is especially useful in researching complex topics. Thus, their popularity is growing. Stakeholder consultations are an important strategy to enhance study results. Therefore, information about how best to involve stakeholders throughout the process is necessary to improve quality and uptake of reviews. This review followed Arksey and O'Malley's five stages: identifying research questions; identifying relevant studies; study selection; charting the data; and collating, summarizing and reporting results. Technological tools and strategies included: citation management software (Reference Manager®), qualitative data analysis software (NVivo 8), web conferencing (Elluminate Live!) and a PH portal (eHealthOntario), teleconferences, email and face-to-face meetings. Of 6125 papers identified, 114 were retained as relevant. Most papers originated in the United Kingdom (38%), the United States (34%) and Canada (19%). Of 80 papers that reported on specific collaborations, most were descriptive reports (51.3%). Research studies represented 34 papers: 31% were program evaluations, 9% were literature reviews and 9% were discussion papers. Key strategies to ensure rigor in conducting a scoping literature review while engaging a large geographically dispersed team are presented for each stage. The use of enabling technologies was essential to managing the process. Leadership in championing the use of technologies and a clear governance

  13. Female Public Library Patrons Value the Library for Services, Programs, and Technology. A Review of: Fidishun, Dolores. “Women and the Public Library: Using Technology, Using the Library.” Library Trends 56.2 (2007: 328-43.

    Directory of Open Access Journals (Sweden)

    Virginia Wilson

    2009-03-01

    Full Text Available Objective – This study attempts to give insight into why and how women use the public library and information technology, and how they learned to use the technology.Design – Qualitative survey.Setting – The research took place at the Chester County Library in Exton, Pennsylvania, USA.Subjects – One hundred and eighty-four female library patrons 18 years and older.Methods – An anonymous qualitative survey was handed out to all patrons at the ChesterCounty Library 18 years of age and older who came into the library on four separate days and times. Times were chosen to obtain a good representation of library patrons, and included daytime, evening, and weekend hours. The survey consisted of questions about library use, information sought, information seeking behaviour, technology used, and how the respondents learned to use the technology. The surveys were collated and spreadsheets were created that reported answers to yes/no and other data questions. Word documents facilitated the listing of more qualitative answers. The data were analyzed using a thematic content analysis to find themes and patterns that emerged to create grounded theory. In thematic content analysis, “the coding scheme is based on categories designed to capture the dominant themes in a text (Franzosi 184. There is no universal coding scheme, and this method requires extensive pre-testing of the scheme (Franzosi 184. Grounded theory “uses a prescribed set of procedures for analyzing data and constructing a theoretical model” from the data (Leedy and Ormrod 154.Main Results – The survey asked questions about library use, reasons for library use, using technology, finding information, and learning to use online resources. A total of 465 surveys were distributed and 329 were returned. From the surveys returned, 184 were from female patrons, 127 from male patrons, and 18 did not report gender. The data for this article are primarily taken from the 184 female

  14. Attachment as a predictor of non response to CBT treatment in children with anxiety disorders

    DEFF Research Database (Denmark)

    Walczak, Monika Anna; Esbjørn, Barbara Hoff; Breinholst, Sonja

    2017-01-01

    Children’s and parents’ attachment patterns have been linked with the presence of pediatric anxiety disorders. The present study examined the role of attachment in predicting cognitive behavior therapy (CBT) treatment outcomes. A total of 69 children aged 7–13 years were assessed using a semi...... not significantly differ with regard to child’s attachment to parent. Maternal attachment anxiety was found to be the strongest predictor of treatment outcome, remaining significant after controlling for symptoms severity. Results suggest that clinicians should pay more attention to how the relationships formed...

  15. Use of Web 2.0 Technologies for Public Outreach on a Simulated Mars Mission

    Science.gov (United States)

    Ferrone, Kristine; Shiro, Brian; Palaia, Joseph E., IV

    2009-01-01

    Recent advances in social media and internet communications have revolutionized the ways people interact and disseminate information. Astronauts are already taking advantage of these tools by blogging and tweeting from space, and almost all NASA missions now have presences on the major social networking sites. One priotity for future human explorers on Mars will be communicating their experiences to the people back on Earth. During July 2009, a 6-member crew of volunteers carried out a simulated Mars mission at the Flashline Mars Arctic Research Station (FMARS). The Mars Society built the mock Mars habitat in 2000-01 to help develop key knowledge and inspire the public for human Mars exploration. It is located on Devon island about 1600 km from the North Pole within the Arctic Circle. The structure is situated on the rim of Haughton Crater in an environment geologically and biologically analogous to Mars. Living in a habitat, conducting EVAs wearing spacesuits, and observing communication delays with "Earth,"the crew endured restrictions similar to those that will be faced by future human Mars explorers. Throughout the expedition, crewmembers posted daily blog entries, reports, photos, videos, and updates to their website and social media outlets Twitter, Facebook, YouTube, and Picasa Web Albums. During the sixteen EVAs of thier field science research campaign, FMARS crewmembers collected GPS track information and took geotagged photos using GPS-enabled cameras. They combined their traverse GPS tracks with photo location information into KML/KMZ files that website visitors can view in Google Earth.

  16. 2002 Blue Marble and Developments in HDTV Technology for Public Outreach

    Science.gov (United States)

    Hasler, Fritz; Starr, David OC. (Technical Monitor)

    2001-01-01

    Fritz Hasler (NASA/Goddard) will demonstrate the latest Blue Marble Digital Earth technology. We will fly in from space through Terra, Landsat 7, to 1 m Ikonos "Spy Satellite" data of Disney World and the Orlando Convention Center. You will see the complete global cloud free and cloudy 500 m datasets from the EOS Terra satellite. Spectacular new animations from Terra, Landsat 7, and SeaWiFS will be presented. See also animations of the hurricanes & tropical storms of the 2001 season, as well as Floyd, Georges, and Mitch, etc. from GOES & TRMM supported by MM5 3-D nested numerical model results. See movies assembled using new low cost HDTV nonlinear editing equipment that is revolutionizing the way we communicate scientific results. See climate change in action with Global Land & Ocean productivity changes over the last 20 years. Remote sensing observations of ocean SST, height, winds, color, and El Nino from GOES, AVHRR, SSMI & SeaWiFS are put in context with atmospheric and ocean simulations. Compare symmetrical equatorial eddies observed by GOES with the simulations.

  17. Monitoring Conformance and Containment for Geological Carbon Storage: Can Technology Meet Policy and Public Requirements?

    Science.gov (United States)

    Lawton, D. C.; Osadetz, K.

    2014-12-01

    The Province of Alberta, Canada identified carbon capture and storage (CCS) as a key element of its 2008 Climate Change strategy. The target is a reduction in CO2 emissions of 139 Mt/year by 2050. To encourage uptake of CCS by industry, the province has provided partial funding to two demonstration scale projects, namely the Quest Project by Shell and partners (CCS), and the Alberta Carbon Trunk Line Project (pipeline and CO2-EOR). Important to commercial scale implementation of CCS will be the requirement to prove conformance and containment of the CO2 plume injected during the lifetime of the CCS project. This will be a challenge for monitoring programs. The Containment and Monitoring Institute (CaMI) is developing a Field Research Station (FRS) to calibrate various monitoring technologies for CO2 detection thresholds at relatively shallow depths. The objective being assessed with the FRS is sensitivity for early detection of loss of containment from a deeper CO2 storage project. In this project, two injection wells will be drilled to sandstone reservoir targets at depths of 300 m and 700 m. Up to four observation wells will be drilled with monitoring instruments installed. Time-lapse surface and borehole monitoring surveys will be undertaken to evaluate the movement and fate of the CO2 plume. These will include seismic, microseismic, cross well, electrical resistivity, electromagnetic, gravity, geodetic and geomechanical surveys. Initial baseline seismic data from the FRS will presented.

  18. Sleep-Related Safety Behaviors and Dysfunctional Beliefs Mediate the Efficacy of Online CBT for Insomnia: A Randomized Controlled Trial.

    Science.gov (United States)

    Lancee, Jaap; Eisma, Maarten C; van Straten, Annemieke; Kamphuis, Jan H

    2015-01-01

    Several trials have demonstrated the efficacy of online cognitive behavioral therapy (CBT) for insomnia. However, few studies have examined putative mechanisms of change based on the cognitive model of insomnia. Identification of modifiable mechanisms by which the treatment works may guide efforts to further improve the efficacy of insomnia treatment. The current study therefore has two aims: (1) to replicate the finding that online CBT is effective for insomnia and (2) to test putative mechanism of change (i.e., safety behaviors and dysfunctional beliefs). Accordingly, we conducted a randomized controlled trial in which individuals with insomnia were randomized to either online CBT for insomnia (n = 36) or a waiting-list control group (n = 27). Baseline and posttest assessments included questionnaires assessing insomnia severity, safety behaviors, dysfunctional beliefs, anxiety and depression, and a sleep diary. Three- and six-month assessments were administered to the CBT group only. Results show moderate to large statistically significant effects of the online treatment compared to the waiting list on insomnia severity, sleep measures, sleep safety behaviors, and dysfunctional beliefs. Furthermore, dysfunctional beliefs and safety behaviors mediated the effects of treatment on insomnia severity and sleep efficiency. Together, these findings corroborate the efficacy of online CBT for insomnia, and suggest that these effects were produced by changing maladaptive beliefs, as well as safety behaviors. Treatment protocols for insomnia may specifically be enhanced by more focused attention on the comprehensive fading of sleep safety behaviors, for instance through behavioral experiments.

  19. Effects of Home-Delivered Cognitive Behavioral Therapy (CBT) for Depression on Anxiety Symptoms among Rural, Ethnically Diverse Older Adults.

    Science.gov (United States)

    DiNapoli, Elizabeth A; Pierpaoli, Christina M; Shah, Avani; Yang, Xin; Scogin, Forrest

    2017-01-01

    We examined the effects of home-delivered cognitive-behavioral therapy (CBT) for depression on anxiety symptoms in an ethnically diverse, low resource, and medically frail sample of rural, older adults. This was a secondary analysis of a randomized clincial trial with 134 rural-dwelling adults 65 years and older with decreased quality of life and elevated psychological symptomatology. Anxiety symptoms were assessed with the anxiety and phobic anxiety subscales of the Symptom Checklist-90-Revised (SCL-90-R). Compared to a minimal support control condition, CBT for depression resulted in significantly greater improvements in symptoms of anxiety and phobic anxiety from pre-treatment to post-treatment. Home-delivered CBT for depression can be an effective treatment for anxiety in a hard-to-reach older populations. Additional research should explore integrated anxiety and depression protocols and other treatment modalities, including bibliotherapy or telehealth models of CBT, to reduce costs associated with its in home delivery. Flexibility in administration and adaptations to the CBT protocol may be necessary for use with vulnerable, rural older adults.

  20. Cognitive Behavioral Therapy for Psychosis (CBT-p) Delivered in a Community Mental Health Setting: A Case Comparison of Clients Receiving CBT Informed Strategies by Case Managers Prior to Therapy.

    Science.gov (United States)

    Sivec, Harry J; Montesano, Vicki L; Skubby, David; Knepp, Kristen A; Munetz, Mark R

    2017-02-01

    This exploratory case comparison examines the influence of case management activities on engagement and progress in psychotherapy for clients with schizophrenia. Six clients were recruited to participate in ten sessions of Cognitive Behavioral Therapy for psychosis (CBT-p). Three clients who had received Cognitive Behavioral techniques for psychosis (CBt-p, a low-intensity case management intervention) prior to receiving therapy were selected from referrals. A comparison group of three clients who had received standard case management services was selected from referrals. Cases within and across groups were compared on outcome measures and observations from case review were offered to inform future research. Delivering CBT-p services on a continuum from low- to high-intensity is discussed.

  1. ArrayWiki: an enabling technology for sharing public microarray data repositories and meta-analyses.

    Science.gov (United States)

    Stokes, Todd H; Torrance, J T; Li, Henry; Wang, May D

    2008-05-28

    ) such as Google to further enhance data discovery. Microarray data and meta information in ArrayWiki are distributed and visualized using a novel and compact data storage format, BioPNG. Also, they are open to the research community for curation, modification, and contribution. By making a small investment of time to learn the syntax and structure common to all sites running MediaWiki software, domain scientists and practioners can all contribute to make better use of microarray technologies in research and medical practices. ArrayWiki is available at http://www.bio-miblab.org/arraywiki.

  2. Development of Public Training System for Emergency Exercise Using Virtual Reality Technology Based on Radioactive Release Accident

    International Nuclear Information System (INIS)

    Lee, Byung Il; Park, Seong Jun; Lee, Dewhey; Song, Sub Lee; Park, Younwon

    2016-01-01

    An exercise is normally conducted for a day or two days depending on the scale of the exercise. What we have experienced up to date there are several limitations in the radiological emergency exercises such as low public acceptance, poor enthusiasm in the exercise participation, not very attracting exercise scenarios, low efficiency in conducting an exercise, and so on. In order to overcome the limitations of the present exercising system, we would like to develop a radiological emergency exercise system using VR (virtual reality) technology based on a radioactive release accident. In this paper, we just introduce some basic development methods and event tree based scenario as a beginning stage. After the accident in Fukushima Daiichi NPP, the importance of emergency exercise especially for the public is far more emphasized around the world more and more. However, the human labor focused radiological emergency exercise up to now has many limitations. After developing this system properly and by using it, we could even expect to estimate the weak points of the emergency arrangements and strategy we have

  3. Development of Public Training System for Emergency Exercise Using Virtual Reality Technology Based on Radioactive Release Accident

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Byung Il; Park, Seong Jun; Lee, Dewhey; Song, Sub Lee; Park, Younwon [BEES Inc., Daejeon (Korea, Republic of)

    2016-10-15

    An exercise is normally conducted for a day or two days depending on the scale of the exercise. What we have experienced up to date there are several limitations in the radiological emergency exercises such as low public acceptance, poor enthusiasm in the exercise participation, not very attracting exercise scenarios, low efficiency in conducting an exercise, and so on. In order to overcome the limitations of the present exercising system, we would like to develop a radiological emergency exercise system using VR (virtual reality) technology based on a radioactive release accident. In this paper, we just introduce some basic development methods and event tree based scenario as a beginning stage. After the accident in Fukushima Daiichi NPP, the importance of emergency exercise especially for the public is far more emphasized around the world more and more. However, the human labor focused radiological emergency exercise up to now has many limitations. After developing this system properly and by using it, we could even expect to estimate the weak points of the emergency arrangements and strategy we have.

  4. Learning to address multiple syndemics for people living with HIV through client perspectives on CBT.

    Science.gov (United States)

    Perry, Nicholas S; Remmert, Jocelyn E; Psaros, Christina; Pinkston, Megan; Safren, Steven A

    2017-10-09

    The mental health burden among people living with HIV/AIDS (PLWHA) is high and often involves multiple comorbid psychological and substance use-related psychosocial problems. These co-occurring problems, or syndemics, additively impair engagement in HIV disease management. Existing psychotherapies for mental health and HIV health have generally focused on a single psychosocial problem and little research exists to guide future psychotherapies that address multiple mental health issues. To address this gap in understanding, we conducted qualitative interviews with multiply comorbid PLWHA (N = 30) who completed cognitive-behavioural therapy (CBT) for depression and medication adherence. Themes emerged regarding participants' perspectives on how overlapping substance use and mood disorders interacted to reduce the benefit of CBT. Substance use was a dominant theme compared to other syndemics, highlighting the need for integrated mental health and substance use interventions. Interviews also suggested modifications of which psychosocial concerns participants felt should be prioritized in treatment delivery. Finally, participants described content they would want in a psychotherapy intervention, including intimacy and sexual health. Future psychotherapeutic interventions for syndemic problems and HIV self-care will need to comprehensively address complex concerns, including issues salient to the overall well-being of PLWHA. This may improve client engagement and, ultimately, mental, and physical health outcomes.

  5. Treatment of music performance anxiety via psychological approaches: a review of selected CBT and psychodynamic literature.

    Science.gov (United States)

    Nagel, Julie J

    2010-12-01

    Performance anxiety, or stage fright, is anxiety aroused about potential mishaps in performance that expose feared inadequacies before an audience and which evoke feelings of embarrassment and humilation. For affected musicians, performance anxiety can be emotionally devastating, as their career choice in music may be terminated or severely compromised. This paper focuses on the cognitive and psychodynamic literature about music performance anxiety, with the emphasis that for treatment "one size does not fit all." It reviews the factors underlying performance anxiety and those factors which can exacerbate the condition in musicians. The two major clinical treatment modalities within contemporary psychology, cognitive behavior therapy (CBT) and psychodynamic treatments, are reviewed. While there are more empirical studies of CBT in various populations in the literature, until recently there was an indifference to empirical research by psychodynamic investigators. However, meta-analyses show strong efficacy for psychodynamic psychotherapy (in various disorders, not specifically music performance anxiety), but also that the benefits of psychodynamic psychotherapy may endure longer and increase with time.

  6. Relationships among emotion regulation and symptoms during trauma-focused CBT for school-aged children.

    Science.gov (United States)

    Thornback, Kristin; Muller, Robert T

    2015-12-01

    This study examined improvement in emotion regulation throughout Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT) and the degree to which improvement in emotion regulation predicted improvement in symptoms. Traumatized children, 7-12 years (69.9% female), received TF-CBT. Data from 4 time periods were used: pre-assessment (n=107), pre-treatment (n=78), post-treatment (n=58), and 6-month follow-up (n=44). Questionnaires measured emotion regulation in the form of inhibition and dysregulation (Children's Emotion Management Scales) and lability/negativity and emotion regulation skill (Emotion Regulation Checklist), as well as child-reported (Trauma Symptom Checklist for Children) and parent-reported (Trauma Symptom Checklist for Young Children) posttraumatic stress, and internalizing and externalizing problems (Child Behaviuor Checklist). To the extent that children's dysregulation and lability/negativity improved, their parents reported fewer symptoms following therapy. Improvements in inhibition best predicted improvements in child-reported posttraumatic stress (PTS) during clinical services, but change in dysregulation and lability/negativity best predicted improvement in child-reported PTS symptoms at 6-month follow-up. Moreover, statistically significant improvements of small effect size were found following therapy, for inhibition, dysregulation, and lability/negativity, but not emotion regulation skill. These findings suggest that emotion regulation is a worthy target of intervention and that improvements in emotion regulation can be made. Suggestions for future research are discussed. Copyright © 2015 Elsevier Ltd. All rights reserved.

  7. Age-related references in national public health, technology appraisal and clinical guidelines and guidance: documentary analysis.

    Science.gov (United States)

    Forrest, Lynne F; Adams, Jean; Ben-Shlomo, Yoav; Buckner, Stefanie; Payne, Nick; Rimmer, Melanie; Salway, Sarah; Sowden, Sarah; Walters, Kate; White, Martin

    2017-05-01

    older people may be less likely to receive interventions than younger people. Age bias in national guidance may influence entire public health and health care systems. We examined how English National Institute for Health & Care Excellence (NICE) guidance and guidelines consider age. we undertook a documentary analysis of NICE public health (n = 33) and clinical (n = 114) guidelines and technology appraisals (n = 212). We systematically searched for age-related terms, and conducted thematic analysis of the paragraphs in which these occurred ('age-extracts'). Quantitative analysis explored frequency of age-extracts between and within document types. Illustrative quotes were used to elaborate and explain quantitative findings. 2,314 age-extracts were identified within three themes: age documented as an a-priori consideration at scope-setting (518 age-extracts, 22.4%); documentation of differential effectiveness, cost-effectiveness or other outcomes by age (937 age-extracts, 40.5%); and documentation of age-specific recommendations (859 age-extracts, 37.1%). Public health guidelines considered age most comprehensively. There were clear examples of older-age being considered in both evidence searching and in making recommendations, suggesting that this can be achieved within current processes. we found inconsistencies in how age is considered in NICE guidance and guidelines. More effort may be required to ensure age is consistently considered. Future NICE committees should search for and document evidence of age-related differences in receipt of interventions. Where evidence relating to effectiveness and cost-effectiveness in older populations is available, more explicit age-related recommendations should be made. Where there is a lack of evidence, it should be stated what new research is needed. © The Author 2016. Published by Oxford University Press on behalf of the British Geriatrics Society.

  8. Specificity of homework compliance effects on treatment outcome in CBT: evidence from a controlled trial on panic disorder and agoraphobia.

    Science.gov (United States)

    Cammin-Nowak, Sandra; Helbig-Lang, Sylvia; Lang, Thomas; Gloster, Andrew T; Fehm, Lydia; Gerlach, Alexander L; Ströhle, Andreas; Deckert, Jürgen; Kircher, Tilo; Hamm, Alfons O; Alpers, Georg W; Arolt, Volker; Wittchen, H-U

    2013-06-01

    Although homework assignments are an integral component of cognitive-behavioral therapy (CBT) and relate to positive therapy outcomes, it is unclear whether specific homework types and their completion have specific effects on outcome. Data from N = 292 patients (75% female, mean age 36 years) with panic disorder and agoraphobia and treated with standardized CBT were analyzed with homework compliance quality and quantity for different types of homework serving as predictors for different outcome variables. Quality ratings of homework completion were stronger outcome predictors than quantitative compliance ratings. Exposure homework was a better outcome predictor than homework relating to psychoeducation and self-monitoring. Different aspects of homework compliance and specific homework types might differentially relate to CBT outcome. © 2013 Wiley Periodicals, Inc.

  9. A systematic review exploring therapist competence, adherence, and therapy outcomes in individual CBT for children and young people.

    Science.gov (United States)

    Rapley, Hannah A; Loades, Maria E

    2018-04-22

    Whilst the evidence base for cognitive behavioural therapy (CBT) with children and young people is growing, the mechanisms through which these beneficial effects occur are still unclear. This systematic review seeks to appraise the relationship between therapeutic outcomes in CBT and therapist adherence and competence, within the child and adolescent literature. A systematic review was carried out, with five studies identified as meeting the inclusion criteria. The literature is currently small and inconclusive. Amongst the studies reviewed, there were inconsistent findings, with minimal-to-no effect sizes found between adherence, competence, and outcomes. The current paucity of research in this area means that conclusions are currently limited. The role and impact of adherence and competence on therapeutic outcomes remains unclear within individual CBT in a child population. This is comparable with the current adult literature, where findings also remain inconclusive. Further research avenues are discussed.

  10. Integrating Research, Theory-Building, Training, and Practice in CBT Group Therapy for Children and Adolescents with anxiety

    DEFF Research Database (Denmark)

    Thastum, Mikael

    This presentation will describe how the model developed in Esben Hougaard's Adult CBT Therapy Program at Aarhus University - which integrates research, theory-building, training, and practice - has beenadapted to work with children and adolescents with anxiety disorders and their parents. The res......This presentation will describe how the model developed in Esben Hougaard's Adult CBT Therapy Program at Aarhus University - which integrates research, theory-building, training, and practice - has beenadapted to work with children and adolescents with anxiety disorders and their parents...... centers (n=40); (c) an open study with both group-based and case-based analyses of case-formulation-focused CBT for non-responding clients and their families (n = 20); (d) an explorative study of the treatment program for children with ADHD and comorbid anxiety disorder (n = 12); and (e) etiological...

  11. The Impact of the Role of an Instructional Technology Facilitator on Teacher Efficacy in Classroom Technology Integration in Two Rural Public Schools in Northwestern North Carolina

    Science.gov (United States)

    Adams, Karri Campbell

    2015-01-01

    The purpose of this study was to contribute to a limited body of research on the impact of the role of the school-level instructional technology facilitator on teacher technology efficacy. This mixed-methods study involved the administration of a survey instrument designed to measure teacher technology efficacy, the Computer Technology Integration…

  12. Implementation of AF-CBT by community practitioners serving child welfare and mental health: a randomized trial.

    Science.gov (United States)

    Kolko, David J; Baumann, Barbara L; Herschell, Amy D; Hart, Jonathan A; Holden, Elizabeth A; Wisniewski, Stephen R

    2012-02-01

    The Partnerships for Families project is a randomized clinical trial designed to evaluate the implementation of Alternatives for Families: A Cognitive-Behavioral Therapy (AF-CBT), an evidence-based treatment for family conflict, coercion, and aggression, including child physical abuse. To evaluate the effectiveness of a training program in this model, 182 community practitioners from 10 agencies were randomized to receive AF-CBT training (n = 90) using a learning community model (workshops, consultation visits) or Training as Usual (TAU; n = 92) which provided trainings per agency routine. Practitioners completed self-report measures at four time points (0, 6, 12, and 18 months following baseline). Of those assigned to AF-CBT, 89% participated in at least one training activity and 68% met a "training completion" definition. A total of 80 (44%) practitioners were still active clinicians in the study by 18-month assessment in that they had not met our staff turnover or study withdrawal criteria. Using an intent-to-train design, hierarchical linear modeling analyses revealed significantly greater initial improvements for those in the AF-CBT training condition (vs. TAU condition) in CBT-related knowledge and use of AF-CBT teaching processes, abuse-specific skills, and general psychological skills. In addition, practitioners in both groups reported significantly more negative perceptions of organizational climate through the intervention phase. These significant, albeit modest, findings are discussed in the context of treatment training, research, and work force issues as they relate to the diverse backgrounds, settings, and populations served by community practitioners.

  13. The effectiveness of internet cognitive behaviour therapy (iCBT for social anxiety disorder across two routine practice pathways

    Directory of Open Access Journals (Sweden)

    Alishia D. Williams

    2014-10-01

    Full Text Available Social anxiety disorder (SAD is a common, chronic and disabling mental disorder. Cognitive Behaviour Therapy (CBT is a highly effective treatment of SAD and internet CBT (iCBT offers a cost-effective and convenient alternative to face to face approaches, with high fidelity and demonstrated efficacy. The aim of the current paper was to evaluate the effectiveness of an iCBT programme for SAD (The This Way Up Clinic Shyness Programme when delivered in routine practice through two different pathways. Patients in the prescription pathway (Study 1, N = 368, 50% female, mean age = 34 were ‘prescribed’ the Shyness Programme by a registered practitioner of the This Way Up Clinic who supervised their progress throughout the programme. Patients in the referral pathway (Study 2, N = 192, 50% female, mean age = 36 were referred to the This Way Up Clinic and supervised by a specialist CBT clinician at the clinic. Intention-to-treat marginal model analyses demonstrated significant reductions in primary outcomes of social anxiety symptoms (Mini-SPIN and psychological distress (K10, corresponding to large effect sizes (Cohen's d = .82–1.09, 95% CIs .59–1.31 and secondary outcomes of impairment (WHODAS-II and depressive symptoms (PHQ9, corresponding to small effect sizes (Cohen's d = .36–.46, 95% CIs .19–.68 for patients in both pathways. Results provide evidence of the effectiveness of iCBT for social anxiety disorder when delivered in routine practice.

  14. Cognitive-Behavioral Therapy for Depression Using Mind Over Mood: CBT Skill Use and Differential Symptom Alleviation.

    Science.gov (United States)

    Hawley, Lance L; Padesky, Christine A; Hollon, Steven D; Mancuso, Enza; Laposa, Judith M; Brozina, Karen; Segal, Zindel V

    2017-01-01

    Cognitive-behavioral therapy (CBT) for depression is highly effective. An essential element of this therapy involves acquiring and utilizing CBT skills; however, it is unclear whether the type of CBT skill used is associated with differential symptom alleviation. Outpatients (N = 356) diagnosed with a primary mood disorder received 14 two-hour group sessions of CBT for depression, using the Mind Over Mood protocol. In each session, patients completed the Beck Depression Inventory and throughout the week they reported on their use of CBT skills: behavioral activation (BA), cognitive restructuring (CR), and core belief (CB) strategies. Bivariate latent difference score (LDS) longitudinal analyses were used to examine patterns of differential skill use and subsequent symptom change, and multigroup LDS analyses were used to determine whether longitudinal associations differed as a function of initial depression severity. Higher levels of BA use were associated with a greater subsequent decrease in depressive symptoms for patients with mild to moderate initial depression symptoms relative to those with severe symptoms. Higher levels of CR use were associated with a greater subsequent decrease in depressive symptoms, whereas higher levels of CB use were followed by a subsequent increase in depressive symptoms, regardless of initial severity. Results indicated that the type of CBT skill used is associated with differential patterns of subsequent symptom change. BA use was associated with differential subsequent change as a function of initial severity (patients with less severe depression symptoms demonstrated greater symptom improvement), whereas CR use was associated with symptom alleviation and CB use with an increase in subsequent symptoms as related to initial severity. Copyright © 2016. Published by Elsevier Ltd.

  15. A systematic review of the effectiveness of CBT/ERP group therapy of OCD: A meta-analysis

    DEFF Research Database (Denmark)

    Jónsson, Hjalti; Hougaard, Esben; Bennedsen, Birgit

    BACKGROUND: Individual Cognitive Behavioural Therapy (CBT) is considered an empirically supported treatment for OCD. Group therapy has been proposed in the treatment of OCD, but it is still uncertain whether it is as effective as individual therapy. Most outcome researchers of individual therapy......, as well as reviewers of the literature have focused on within single treatments effect sizes rather between group effect sizes. OBJECTIVES To make a systematic review, and by methods of meta analysis compute a pooled within effect size of studies of group CBT of OCD and compare these to previously...

  16. Conditions of the potential for commercialization of the patent: the implementation of a technology public offering system technology at CNEN; Condicionantes do potencial de exploracao comercial da patente: a implantacao de um sistema de oferta publica de tecnologia na CNEN

    Energy Technology Data Exchange (ETDEWEB)

    Archila, Daniela Lima Cerqueira

    2015-07-01

    This dissertation identifies the main factors which represent the conditions for the potential commercialization of patents aiming at the implementation of a system for technology public offering at CNEN as a strategy for creating licensing opportunities to the industrial sector. The method applied refers to an exploratory case study of a patented technology selected from a sample of CNEN's patent portfolio in the biopharmaceutical sector. The case study comprehends a field research of interviews conducted with two specialists in technology and innovation management, one researcher from CNEN and a biopharmaceutical company. The results show that among the nineteen main factors - related to technology, market, business and Science and Technology Organization (STO) - the market dynamics, the potential applications of the technology and an abstract of its main benefits compared to existing technologies are the major relevant information for each technology to be included in the public offering system. Other results indicate that the evaluation of such factors may be conducted by competent professionals to bring less uncertainty and risk to the early-stage of the innovation process, as well as enhance the potential interest of a company in the technology. On the other hand, the latter requires innovation capabilities to move the technology forward – additional R&D, scale-up, manufacturing and marketing - whilst the STO needs a entrepreneurial culture that mitigates its obstacles, creates more positive solutions for its routines and processes and gives sustainability to its Technology Transfer Office (TTO) through valuing its personnel in the long term. Finally, emphasis on technological partnerships with companies can be a motivating feature for directing the STO's patent strategy to the creation of proprietary technological platforms that reflect problems experienced by the commercial environment, as well as the development of this strategic patent

  17. Technology.

    Science.gov (United States)

    Online-Offline, 1998

    1998-01-01

    Focuses on technology, on advances in such areas as aeronautics, electronics, physics, the space sciences, as well as computers and the attendant progress in medicine, robotics, and artificial intelligence. Describes educational resources for elementary and middle school students, including Web sites, CD-ROMs and software, videotapes, books,…

  18. [A group cognitive behavioral intervention for people registered in supported employment programs: CBT-SE].

    Science.gov (United States)

    Lecomte, T; Corbière, M; Lysaker, P H

    2014-06-01

    Supported employment programs are highly effective in helping people with severe mental illness obtain competitive jobs quickly. However, job tenure is often a problem for many. Of the various obstacles to job tenure documented, dysfunctional beliefs regarding the workplace and one's own abilities has been proposed as a therapeutic target. The purpose of this article is threefold: (1) to describe the development and the content of a novel group cognitive behavioral intervention designed to increase job tenure for people receiving supported employment services; (2) to present the feasibility and acceptability of the intervention; and (3) to investigate some preliminary data regarding employment outcomes. A group CBT intervention offered during 8 sessions over the course of one month, in order to respect the rapid job search principle of IPS (individual placement and support), was developed. The content was tailored to facilitate the learning of skills specific to the workplace, such as recognizing and managing one's stressors at work, determining and modifying dysfunctional thoughts (e.g. not jumping to conclusions, finding alternatives, seeking facts), overcoming obstacles (e.g. problem solving), improving one's self-esteem as a worker (recognizing strengths and qualities), dealing with criticism, using positive assertiveness, finding coping strategies (for symptoms and stress) to use at work, negotiating work accommodations and overcoming stigma. A trial is currently underway, with half the participants receiving supported employment as well as CBT-SE and the other half receiving only supported employment. A subsample of the first 24 participants having completed the 12-month follow-up were used for the analyses, including 12 having received at least 3 sessions out of the 8 group sessions and 12 receiving only supported employment. Feasibility and acceptability were determined by the group therapists' feedback, the participants' feedback as well as attendance to

  19. Reductions in negative repetitive thinking and metacognitive beliefs during transdiagnostic internet cognitive behavioural therapy (iCBT) for mixed anxiety and depression

    NARCIS (Netherlands)

    Newby, Jill M; Williams, Alishia D; Andrews, Gavin

    We explored whether transdiagnostic internet-delivered cognitive behavioural therapy (iCBT) for mixed anxiety and depression effectively reduces repetitive negative thinking (RNT), and whether reductions in RNT and positive metacognitive beliefs mediate symptom improvement during iCBT. Participants

  20. A randomized trial of CBT or SSRI or both combined for panic disorder with or without agoraphobia: treatment results through 1-year follow-up

    NARCIS (Netherlands)

    van Apeldoorn, F.J.; Timmerman, M.E.; Mersch, P.P.A.; Hout, W.J.P.J.; Visser, S.; van Dyck, R.; den Boer, J.A.

    2010-01-01

    Objective: To establish the long-term effectiveness of 3 treatments for DSM-IV panic disorder with or without agoraphobia: cognitive-behavioral therapy (CBT), pharmacotherapy using a selective serotonin reuptake inhibitor (SSRI), or the combination of both (CBT + SSRI). As a secondary objective, the