Development and Evaluation of an Online Acceptance and Commitment Therapy Program for Anxiety: Phase I Iterative Design

This exploratory, nonclinical study evaluated the user experience of an online acceptance and commitment therapy program for anxiety. Forty young Australian adults aged between 18 to 25 years old completed the online program over 2 weeks. System usability and perceived helpfulness were evaluated at posttest. Self-rated levels of anxiety, depression, stress, and psychological flexibility were measured at pretest, posttest, and 2-week follow up. System usability was rated above average and significant improvements were found on all mental health measures from pretest to follow-up, except for stress. These results warrant further scrutiny in a clinical randomized controlled trial on the intervention.     

What Lies Beneath: Trauma Events,PTSD, and Alcohol Misuse in Driving Under the Influence Program Clients

The prevention and reduction of alcohol misuse is one of the Grand Challenges of Social Work. Addressing client needs beyond alcohol misuse can improve client outcomes. Driving under the influence program clients (N = 1,248) were screened for trauma events and posttraumatic stress disorder (PTSD). Results found that males more often reported having been assaulted with a weapon or that they caused injury to someone else. Females more often reported sexual assault and other unwanted sexual experience. About 26% overall screened positive for PTSD. Social workers need to be alert to various types of trauma and help clients identify the connection between trauma and alcohol misuse.     

What makes foster carers think about quitting? Recommendations for improved retention of foster carers

Ideation, or the formulation of ideas pertaining to a particular topic, is the precursor to individuals making significant life decisions. Many individuals think about foster caring long before they actually become carers, and it stands to reason that in many cases, carer discontinuation also follows a period of ideation. This being the case, it is possible that by monitoring ideation, interventions could be introduced to prevent placement disruptions occurring, particularly if the sources of dissatisfaction are known. Using a sample of 205 foster carers, a posteriori segmentation analysis identifies groups of carers dissatisfied with the same aspects of their role. One group is particularly dissatisfied with factors that are within the control of foster care agencies and also reports high levels of discontinuation ideation. Recommendations include that the individual support needs of carers be identified such that customized support can be offered, including boosting initial and ongoing training to manage expectations and ensure carers feel prepared for the role. Results also highlight the important role of caseworkers in making carers feel appreciated and taken seriously.     

Identifying Off-Diagonal Communities Using the Australian Early Development Census Results

An individual’s, and indeed the nation’s, social and economic futures are highly dependent on early childhood development (ECD) outcomes, with poor ECD inhibiting future opportunities. Ecological ECD literature describes family, community and institutions as being key factors in children’s wellbeing, with suggestions that community factors may ameliorate impacts of poor ECD. It is therefore important to develop a greater understanding of those modifiable factors that positively, and negatively, affect ECD outcomes so as ECD policy and practice can be designed and implemented effectively. One approach to this analysis is through the identification and analysis of influencing factors identified within off-diagonal communities—that is those communities where children have either developed well in consideration of their high-levels of socio-economic disadvantage, or developed poorly in consideration of their low levels of socio-economic disadvantage. In this paper we describe a new method for the identification of off-diagonal communities. The method provides a clear and transparent approach to community selection, including a range of methods to further interrogate the community selection ensuring a rigorous and considered selection process. This new method, based on population Census and Australian Early Development Census data, provides the first step in identifying community factors likely to facilitate childhood wellbeing. These findings could inform policy making to reduce inequities by assisting in policy and service delivery design targeted to community needs.     

Testing different rank order question layouts for PC and smartphone respondents

We studied the impact of different layouts for rank order questions on respondent effort, data quality, and substantive results among PC and smartphone respondents, in an experiment in an opt-in online panel in Spain, using an order-by-click design. We experimentally varied the device, the number of columns, and, for smartphone respondents, the position of the ‘next’ button in questions on trust in institutions.

We found some evidence of lower data quality for smartphone users but no evidence that presenting ranking items in one column performs differently than two columns. We also find little evidence that these effects differ by the number of response options presented or the number to be ranked. The placement of the ‘next’ button had little effect on performance on ranking items. Overall, our findings suggest that the format and layout of order-by-click questions has little effect on data quality, regardless of device used.     

Girls Most of the Time,Boys Some of the Time: Gender Differences in Toddlers' Use of Maternal Proximity and Comfort Seeking

How children experience, express, and regulate distress has important implications for adjustment. Factors influencing individual differences in these aspects of affective behavior include temperament, context of situation, and parents, to name a few. Gender differences in the expression of affective behaviors have also been implicated in past research. However, differences are not always found, especially before preschool ages. This study examined the presence of gender differences and moderating influences of gender on the expression of distress and mother‐oriented behaviors (e.g., comfort seeking and proximity to mother) in 24‐month‐old toddlers during a series of situations designed to elicit either fear or frustration. Girls were more likely to seek contact from mother and stay in closer proximity to her compared to boys even after controlling for distress. However, the association between distress and contact seeking or proximity was significant for boys but not for girls. The discussion focuses on implications for biological and socialization effects of sex‐typed behavior and consequences for adjustment.     

Blueprint for ergonomics

Worker safety and health, and productivity and efficiency on the job can be greatly impacted by the application of ergonomics. This article outlines the decision making process for implementing ergonomic change in the workplace. Ergonomic principles, as well as risk factors for the upper extremity and low back are identified. Three ergonomic measurement methods are presented including the National Institute for Occupational Safety and Health (NIOSH) 1991 Revised Lifting Guidelines, Rodgers's Functional Job Analysis Technique, and the Moore and Garg Strain Index. Ergonomic solutions are discussed and additional factors to consider when designing ergonomic changes are identified.     

Neoliberal Knowledge: The Decline of Technocracy and the Weakening of the Montreal Protocol*

Objective. The turn to participatory, stakeholder modes of governance has been accompanied by the legitimization of a new “particularist knowledge regime” emphasizing the knowledge claims made by private interests and local voices. It has also tended to de‐legitimize the ways of knowing that had characterized central state governance, namely, state expertise based on general welfare analytics such as cost‐benefit analysis. This turn away from state expertise, what we call the “anti‐technocratic consensus,” while stemming from democratic motivations, may actually make environmental governance less democratic. Method. We examine the problems that arise from the abandonment of general welfare economic analytics and technical expertise—the anti‐technocratic consensus—through a specific case study: the recent handling of “critical use exemptions” to the ban on methyl bromide under the Montreal Protocol, a treaty that mandates the elimination of methyl bromide in order to protect the ozone layer. We show that decisionmakers specifically rejected general welfare analytics as a basis of regulatory action in favor of a particularist form of analytics based on measuring market disruption. Results. This case illustrate how the de‐legitimization of technical expertise can weaken the effectiveness of an environmental agreement in meeting its regulatory mandate. Critics have often criticized technical expertise as supporting the economic status quo. However, in the case of methyl bromide and the Montreal Protocol, technical experts using general welfare analytics represented a challenge to U.S. regulatory officials who supported industrial interests and their request for significant exemptions to the ban. Conclusion. The legitimization of a particularist knowledge regime opens up policy making to domination by private interests playing the stakeholder game. Stakeholder input and particularist knowledges are important to democratic decision making. However, technical expertise, despite all its weaknesses, is a form of knowledge that remains necessary to the protection of the environment and public health.     

Spreading the word ... hospice information systems

The rapid spread of Saunders' thinking across the world has been facilitated by the Hospice Information service and library at St Christopher's Hospice which she helped to create and further enhanced by Help the Hospices. We have set this article in the context of the Web and other information systems as they are developing today. "Connecting people" and "collecting people's experiences" were terms often used by Cicely Saunders when she described the work of Hospice Information, a service that has in some measure contributed to the rapid spread of her thinking across the world and which is currently in close contact with palliative care workers in over 120 countries. Connecting--or networking--putting people and organizations in touch with each other for mutual benefit and collecting and disseminating people's experiences are central to our work as a U.K. and international resource on hospice and palliative care for professionals and the public. Add to these the crucial role of information provision and advocacy for patients, carers, and health professionals alike and we hope that you may begin to appreciate how our respective organizations have contributed to the spread of Cicely Saunders' vision.