The impact of a sport psychology education intervention on physiotherapists

The purpose of this study was to measure the impact of an online sport psychology education module on the attitudes and behaviours of qualified sports physiotherapists in the UK. Ninety-five sport physiotherapists studied either a sport psychology module or a control module, and their attitudes and behaviours towards sport psychology were measured prior to studying the module and at three points over a six-month period following its completion. It was found that those who had studied the sport psychology module demonstrated an improvement in their attitudes towards sport psychology immediately following its completion that was significantly higher than those who had studied the control module. Use of sport psychology also increased following the sport psychology module, with significant differences seen between the intervention and control group on the sport psychology subscale, indicating that those who had studied the sport psychology module were integrating more sport psychology techniques into their practice than those who had studied the control module. It was concluded that the online sport psychology module was effective in improving the attitudes and behaviours of UK physiotherapists and that more sport psychology education opportunities should be made available

Clean Water for Less Integrated Planning Reduces the Cost of Meeting Water Quality Goals in New Hampshire

Rising populations and increased development in New Hampshire coastal communities have led to a decline in water quality in the Great Bay Estuary. Responding effectively and affordably to new federal permit requirements for treating and discharging stormwater and wastewater will require innovative solutions from communities in the area. The Water Integration for Squamscott-Exeter (WISE) project developed an integrated planning framework through which the coastal communities of Exeter, Stratham, and Newfields could significantly reduce the cost of meeting permit requirements. In this brief, authors Alison Watts, Robert Roseen, Paul Stacey, Renee Bourdeau, and Theresa Walker report that integrated planning could save these communities over $100 million (in fifty-year lifecycle costs) by prioritizing high-impact, low-cost mitigation strategies across permit type and town boundaries. The project, which has received an Environmental Merit award from Environment Protection Agency, also found that attainment of water quality standards in the Exeter–Squamscott River will not be possible without substantial cooperation and investment from upstream communities, which are not currently subject to EPA permit requirements. Collaboration among communities in planning and implementing projects to meet clean water regulations can have significant cost and effectiveness benefits

Selecting, training and supervising nurses to treat depression in the medically ill: experience and recommendations from the SMaRT Oncology collaborative care trials

ObjectiveCollaborative care programs to treat comorbid depression in the medically ill often have general (nonpsychiatric) nurses care managers. In this paper, we aim to provide practical recommendations for their selection, training and supervision.MethodsBased on more than 10 years of experience of selecting, training and supervising general nurses to deliver a highly effective collaborative care programme called “Depression Care for People with Cancer,” we describe the problems encountered and the solutions adopted to optimize the selection, training and supervision of nurse care managers.ResultsTo select nurses for the role of care manager, we found that role plays enabled us to assess nurses' ability to interact with distressed patients and their capacity for self-reflection better than simple interviews. To train the nurses, we found that a structured program that mirrored the treatment manual and included simulated practice was best. To achieve effective supervision, we found that having sessions led by senior psychiatrists facilitated both constructive feedback to the nurses and effective review of the management of cases.ConclusionsWe recommend that the selection, training and supervision of general nurses use the strategies outlined if they are to maximize the benefit that patients achieve from collaborative care programs

Water Integration for Squamscott Exeter (WISE): Preliminary Integrated Plan, Final Technical Report

This document introduces the goals, background and primary elements of an Integrated Plan for the Lower Exeter and Squamscott River in the Great Bay estuary in southern New Hampshire. This Plan will support management of point (wastewater treatment plant) and nonpoint sources in the communities of Exeter, Stratham and Newfields. The Plan also identifies and quantifies the advantages of the use of green infrastructure as a critical tool for nitrogen management and describes how collaboration between those communities could form the basis for an integrated plan. The Plan will help communities meet new wastewater and proposed stormwater permit requirements. Critical next steps are need before this Plan will fulfill the 2018 Nitrogen Control Plan requirements for Exeter and proposed draft MS4 requirements for both Stratham and Exeter. These next steps include conducting a financial capability assessment, development of an implementation schedule and development of a detailed implementation plan. The collaborative process used to develop this Plan was designed to provide decision makers at the local, state and federal levels with the knowledge they need to trust the Plan’s findings and recommendations, and to enable discussions between stakeholders to continue the collaborative process. This Plan includes the following information to guide local response to new federal permit requirements for treating and discharging stormwater and wastewater: Sources of annual pollutant load quantified by type and community; Assessment and evaluation of different treatment control strategies for each type of pollutant load; Assessment and evaluation of nutrient control strategies designed to reduce specific types of pollutants; Evaluation of a range of point source controls at the wastewater treatment facility based on regulatory requirements; Costs associated with a range of potential control strategies to achieve reduction of nitrogen and other pollutants of concern; and A preliminary implementation schedule with milestones for target load reductions using specific practices for specific land uses at points in time; Recommendations on how to implement a tracking and accounting program to document implementation; Design tools such as BMP performance curves for crediting the use of structural practices to support nitrogen accounting requirements; and Next Steps for how to complete this Plan

Small-Scale Mapping of Indeterminate Arborescent Acroporid Coral (Acropora cervicornis) Patches

Western Atlantic populations of the staghorn coral Acropora cervicornis have drastically declined over the past few decades. Hence, interest in its ecology and spatial extent has increased. Acroporid corals with indeterminate arborescent growth like A.cervicornis primarily reproduce asexually by fragmentation, which can lead to extensive monotypic patches. Since fragmentation is a major component in indeterminate acroporid reproduction, these patches may expand or move over time. Periodic perimeter mapping facilitates comparison of patch areas to determine movement or expansion. A repeatable, low-cost method using a differential GPS carried by a snorkeler was employed to map the perimeter of A.cervicornis patches in southeast Florida. Perimeters were mapped over a 3-year period. Patch boundaries were dynamic, expanding in one or more directions. Patch areas increased by up to 7.5 times their original size and moved up to 51 m. Results were corroborated by spatial cluster analyses of in situ live coral cover measurements. Getis-Ord Gi* statistic and Anselin Local Moran’s I spatial cluster analyses of live coral cover within an array of in situ monitoring plots indicated that significant high cover clusters moved in the direction of mapped patch perimeter expansion. Expansion was coupled by more than 50 % decreases in total live cover. Information gained herein shows that A. cervicornis patches are spatially and temporally dynamic, having implications to long-term permanent transect monitoring studies and framework development. Results may be applicable to other shallow water indeterminate arborescent acroporid coral species

Sounding out ecoacoustic metrics: avian species richness is predicted by acoustic indices in temperate but not tropical habitats

Affordable, autonomous recording devices facilitate large scale acoustic monitoring and Rapid Acoustic Survey is emerging as a cost-effective approach to ecological monitoring; the success of the approach rests on the de- velopment of computational methods by which biodiversity metrics can be automatically derived from remotely collected audio data. Dozens of indices have been proposed to date, but systematic validation against classical, in situ diversity measures are lacking. This study conducted the most comprehensive comparative evaluation to date of the relationship between avian species diversity and a suite of acoustic indices. Acoustic surveys were carried out across habitat gradients in temperate and tropical biomes. Baseline avian species richness and subjective multi-taxa biophonic density estimates were established through aural counting by expert ornithol- ogists. 26 acoustic indices were calculated and compared to observed variations in species diversity. Five acoustic diversity indices (Bioacoustic Index, Acoustic Diversity Index, Acoustic Evenness Index, Acoustic Entropy, and the Normalised Difference Sound Index) were assessed as well as three simple acoustic descriptors (Root-mean-square, Spectral centroid and Zero-crossing rate). Highly significant correlations, of up to 65%, between acoustic indices and avian species richness were observed across temperate habitats, supporting the use of automated acoustic indices in biodiversity monitoring where a single vocal taxon dominates. Significant, weaker correlations were observed in neotropical habitats which host multiple non-avian vocalizing species. Multivariate classification analyses demonstrated that each habitat has a very distinct soundscape and that AIs track observed differences in habitat-dependent community composition. Multivariate analyses of the relative predictive power of AIs show that compound indices are more powerful predictors of avian species richness than any single index and simple descriptors are significant contributors to avian diversity prediction in multi-taxa tropical environments. Our results support the use of community level acoustic indices as a proxy for species richness and point to the potential for tracking subtler habitat-dependent changes in community composition. Recommendations for the design of compound indices for multi-taxa community composition appraisal are put forward, with consideration for the requirements of next generation, low power remote monitoring networks

Interrater reliability of directly-observed stepping and reclining in lower limb amputees in a laboratory setting

Introduction: Accurate measurement of physical behaviours in adults with lower limb absence is essential to report true patterns of physical behaviour and the effectiveness of interventions. Observation methods are often used for criterion-related validation. Establishing interrater reliability within direct observation methods is an important and necessary precursor to criterion-related validitystudies. Purpose: To assess the interrater reliability for quantifying steps and reclining time in simulated lifestyle activities in adults with unilateral lower limb absence. Methods: 15 adults completed three trials of a simulated set of lifestyle activities including kitchen work, sitting and lying and purposefulwalking. Trials were video recorded and subsequently analysed independently by three trained raters for three types of behavioural event (incidental stepping, purposeful stepping and reclining). Data were analysed using oneway intraclass correlation coefficients (ICC) and oneway repeated measures ANOVAand effect sizes (Cohen's d). Results: Reliability was high for the reliability of three raters (ICCs ranged from .98-1.00 for the three types of physical behaviours), and also when adjusted for a single rater (ICCsranged from .93-.99). Although there were significant (p < .05) mean differences among raters for incidental steps, total steps, and reclining time, these corresponded to small effect sizes (d = 0.08-0.29).Conclusions: Trained raters are able to consistently judge brief, incidental stepping and more prolonged stepping events as well as sitting and lying events performed by adults with unilateral lower limb absence in controlled laboratory simulations. Multiple raters are not needed in order to obtain reliable data. These data can be used to obtain a reliable record of physical behaviours for criterion-related validation of other measures such as accelerometers

From victims to actors:the role of children and young people in flood recovery and resilience

Following a series of recent devastating storms across England with large numbers of homes and businesses evacuated, and despite widespread consensus that further severe flooding is expected, a large section of the population continues to be excluded from developments in flood risk management. We argue that the absence of children and young people from assessments of both the effects of flooding and ways in which it can be mitigated, undermines the effectiveness and legitimacy of policy making. Drawing on in-depth participative research with two groups of flood-affected children and young people we show the range of ways in which they are affected by flooding, some ways they can be better supported, and then how their valuable experience can help shape positive change in policy and practice before, during and after floods. Children developed Flood Manifestos for Change in a direct challenge to their omission from flood governance. The Manifestos and the steps children took to advocate for them can be seen as acts of citizenship, highlighting the capacities of children and young people as flood actors, rather than flood victims

Psychosocial impact of alternative management policies for low-grade cervical abnormalities : results from the TOMBOLA randomised controlled trial

Background: Large numbers of women who participate in cervical screening require follow-up for minor cytological abnormalities. Little is known about the psychological consequences of alternative management policies for these women. We compared, over 30-months, psychosocial outcomes of two policies: cytological surveillance (repeat cervical cytology tests in primary care) and a hospital-based colposcopy examination. Methods: Women attending for a routine cytology test within the UK NHS Cervical Screening Programmes were eligible to participate. 3399 women, aged 20–59 years, with low-grade abnormal cytology, were randomised to cytological surveillance (six-monthly tests; n = 1703) or initial colposcopy with biopsies and/or subsequent treatment based on colposcopic and histological findings (n = 1696). At 12, 18, 24 and 30-months post-recruitment, women completed the Hospital Anxiety and Depression Scale (HADS). A subgroup (n = 2354) completed the Impact of Event Scale (IES) six weeks after the colposcopy episode or first surveillance cytology test. Primary outcomes were percentages over the entire follow-up period of significant depression (≥8) and significant anxiety (≥11; “30-month percentages”). Secondary outcomes were point prevalences of significant depression, significant anxiety and procedure-related distress (≥9). Outcomes were compared between arms by calculating fully-adjusted odds ratios (ORs) for initial colposcopy versus cytological surveillance. Results: There was no significant difference in 30-month percentages of significant depression (OR = 0.99, 95% CI 0.80–1.21) or anxiety (OR = 0.97, 95% CI 0.81–1.16) between arms. At the six-week assessment, anxiety and distress, but not depression, were significantly less common in the initial colposcopy arm (anxiety: 7.9% vs 13.4%; OR = 0.55, 95% CI 0.38–0.81; distress: 30.6% vs 39.3%, OR = 0.67 95% CI 0.54–0.84). Neither anxiety nor depression differed between arms at subsequent time-points. Conclusions: There was no difference in the longer-term psychosocial impact of management policies based on cytological surveillance or initial colposcopy. Policy-makers, clinicians, and women themselves can be reassured that neither management policy has a significantly greater psychosocial cost