The impact of skills in probation work: A reconviction study

This article reports on the results of a quasi-experimental study of practitioners’ skills in probation work. Videotaped interviews were produced by a group of probation officers and analysed by researchers using a checklist designed to identify the range of skills used in one-to-one supervision. Reconviction rates were found to be significantly lower among those whose supervisors were assessed as using a wider range of skills. The article also reviews the recent history of research on practitioners’ skills in probation, and considers the implications of positive findings from this and other studies

Developing alternative over-the-counter medicine label formats: How do they compare when evaluated by consumers?

Background: In recent years, the Australian Therapeutic Goods Administration (TGA) has proposed implementing a standardized over-the-counter (OTC) medicine label. However, there were mixed consumer opinions regarding a label proposed in 2012 and limited evidence demonstrating the usability of the revised (2014) format. Objective: To develop and examine the usability of alternative OTC medicine label formats for standardization, and explore consumer perspectives on the labels. Materials and methods: Four alternative labels were developed for the exemplar medicine diclofenac. One was based on the Medicine Information label proposed by the TGA (‘Medicine Information’), one was based on the U.S. Drug Facts label (‘Drug Facts’), and two were based on suggestions proposed by consumers in the earlier needs analysis phase of this research (referred to as the ‘Medicine Facts’ and ‘Consumer Desires’ label formats). Five cohorts of 10 participants were recruited. Each cohort was assigned to user test one of the alternative labels or an existing label for a proprietary diclofenac product (which acted as a comparator) for diagnostic purposes. Each participant then provided feedback on all 5 labels. Each interview consisted of the administration of a user testing questionnaire, measuring consumers’ ability to find and understand key points of information, and a semi-structured interview exploring consumer perspectives. Results: Overall, all 4 alternative label formats supported consumers’ ability to find and understand key points. The existing comparator label was the poorer label with respect to participants’ ability to find and understand key points. Factors such as perceived usability, color, design, content, and/or content ordering impacted consumer preferences. The ‘Consumer Desires’ or ‘Drug Facts’ label formats were most often preferred by consumers for use as the standardized OTC label over the TGA proposed format. Conclusions: All alternative label formats demonstrated satisfactory usability and could be considered for use in OTC label standardization. User testing of OTC labels and consumer feedback received as part of the testing process can assist in the refinement of OTC labeling to ensure that implemented policies are evidence-based

Second-chance punitivism and the contractual governance of crime and incivility: New Labour, old Hobbes

The growing application of mechanisms of contractual governance to behaviour that breaches social norms, rather than the criminal law, appears to represent an ethopolitical concern with delinquent self-reform through the activation of technologies of the self. In fact, there is little empirical evidence that the contractual governance of incivility leads to such self-reform. Beneath the ideology of contractual agreement to observe social norms lies what this paper calls a ‘second-chance punitivism’ which operates to crystallise behavioural elements of the Hobbesian social contract, after breach, into a more specific form. The responsibilising and individualising properties of this form of contractual governance set the moral-ideological platform for a retributive punitivism, when the rational agents it creates fail to live up to their image, and are taken to have wasted their ‘second chance’

Lidar Measurements of On-Shore Wind Diffusion

The concept to place electric power generating stations on the oceans off the coast of the United States has instilled new efforts in research for improved understanding of the diffusion properties of the atmosphere in the ocean-air interface. The Atomic Energy Commission has instigated a program by the Meteorology Group at Brookhaven National Laboratory to investigate the low level, on-shore wind systems that dominate many of the coastal regions. Analytical techniques and specialized instrumentation from previous studies at Brookhaven are being used in this new program. The Brookhaven Lidar system is used to measure some of the physical properties of the oil-fog plume originating from a portable smoke generator on a boat off the coast. The oil-fog plume is used as a tracer which can be observed, photographed and measured to determine the diffusive power of the atmosphere associated with the ocean-air interface and the discontinuities found in the ocean-land boundary. This paper will describe the program rather briefly and the oil-fog scattering measurements that have been made with the Lidar system

Clinical Trial Results Summary for Laypersons: A User Testing Study

Objective: To apply “user testing” to maximize readability and acceptability of a Clinical Trial Results Laypersons Summary—a new European requirement. Methods: “User testing” (using questionnaire and semistructured interview) assessed whether people could find and understand key points. Findings were used to improve content and design, prior to retesting. Participants had a range of levels of health literacy and there was a higher education group. Participants accessed the summary on screen. In round 1 we tested 12 points of information. In round 2 a revised summary addressing round 1 findings was tested, leading to a third final version. Results: In round 1, 2 of 12 points of information did not reach the target and interviews raised further format and content issues (some distracting technical explanations and inability to find or understand the 2 main study purposes). These findings informed revisions for the version tested in round 2, with 2 different points not reaching the target (inclusion criteria relating to duration of seasonal allergies and how researchers found out about participants’ symptoms). Identified problems in both rounds were addressed and reflected in the final version. Despite improvements, participants did not consistently understand that summaries were intended for the public, or to only interpret results of single trials in the context of additional trials. All readers, including those with higher education, found the clear and straightforward language acceptable. Conclusions: Applying “user testing” resulted in a largely health-literate summary suitable for people across a range of backgrounds

Do Patients Use a Headline Section in a Leaflet to Find Key Information About Their Medicines? Findings From a User-Test Study

Background: In the European Union (EU), all medicines are mandated to be provided with a patient information leaflet (PIL). Many patients express concerns about the length and complexity of some PILs, and this can be a disincentive for patients to read the PILS. In order to address this, the UK’s regulatory body (Medicine and Healthcare products Regulatory Agency [MHRA]) suggested leaflets might include a headline section—information presented prominently at the beginning of a leaflet that summarizes key safety messages about a drug. Objective: To explore the extent to which readers used a headline section in a PIL, using a form of diagnostic testing called user-testing, which examines how readers find and understand key information. Methods: The study used a cross-sectional design to user-test a PIL with a headline section in a target sample of 20 participants. Participants were provided with an exemplar PIL, and the performance of the PIL was evaluated by a questionnaire and semistructured interview. Results: The results showed that a headline section was used just over one-third of the time (39%); 90% of participants used the headline section to find information when they initially began the user-test. The qualitative findings suggested that the participants valued the presence of the headline section. Conclusion: The research suggests there does not appear to be any negative impact from including a headline section in a PIL, and it is a technique that is highly valued by the consumers of medicines information

Our town: a neighborhood assessment

This report addresses the question: What factors have the strongest impact on communal and individual well-being in different neighborhoods in McLean County? It is one part of the larger United Way of McLean County Community Assessment 2014, which will evaluate the assets and needs of McLean County by focusing on respondents’ experiences receiving health and human services. Our findings are based on data from five key informant interviews and four focus groups. This information was collected from four geographically and economically distinct neighborhoods: rural Lexington, East Bloomington, Normal, and West Bloomington. Common themes that emerged from these sessions are: the dearth of opportunities for young people, the desire for more local businesses, praise for city services such as garbage collection, the desire for growth of community, and the importance of churches. A number of other findings, limitations of the assessment, and recommendations and future research are discussed

Improving recruitment to a study of telehealth management for long-term conditions in primary care: two embedded, randomised controlled trials of optimised patient information materials

Background: Patient understanding of study information is fundamental to gaining informed consent to take part in a randomised controlled trial. In order to meet the requirements of research ethics committees, patient information materials can be long and need to communicate complex messages. There is concern that standard approaches to providing patient information may deter potential participants from taking part in trials. The Systematic Techniques for Assisting Recruitment to Trials (MRC-START) research programme aims to test interventions to improve trial recruitment. The aim of this study was to investigate the effect on recruitment of optimised patient information materials (with improved readability and ease of comprehension) compared with standard materials. The study was embedded within two primary care trials involving patients with long-term conditions. Methods: The Healthlines Study involves two linked trials evaluating a telehealth intervention in patients with depression (Healthlines Depression) or raised cardiovascular disease risk (Healthlines CVD). We conducted two trials of a recruitment intervention, embedded within the Healthlines host trials. Patients identified as potentially eligible in each of the Healthlines trials were randomised to receive either the original patient information materials or optimised versions of these materials. Primary outcomes were the proportion of participants randomised (Healthlines Depression) and the proportion expressing interest in taking part (Healthlines CVD). Results: In Healthlines Depression (n = 1364), 6.3 % of patients receiving the optimised patient information materials were randomised into the study compared to 4.0 % in those receiving standard materials (OR = 1.63, 95 % CI = 1.00 to 2.67). In Healthlines CVD (n = 671) 24.0 % of those receiving optimised patient information materials responded positively to the invitation to participate, compared to 21.9 % in those receiving standard materials (OR = 1.12, 95 % CI = 0.78 to 1.61). Conclusions: Evidence from these two embedded trials suggests limited benefits of optimised patient information materials on recruitment rates, which may only be apparent in some patient populations, with no effects on other outcomes. Further embedded trials are needed to provide a more precise estimate of effect, and to explore further how effects vary by trial context, intervention, and patient population

Target, audit and risk assessment cultures in the probation service

This article traces the rise of managerialism in the probation service in England and Wales before exploring the impact of these changes through reference to in-depth observation and interviews in probation. The article considers how national standards affect practice; how audits feature and their impact on accountability; and how the use of risk assessment tools are perceived and resisted in two probation teams in England Wales. The article then turns to changes implemented by the Coalition Government and highlights some tensions between managerialist occupational cultures in probation and what might occur in the near future