Factors influencing quality of behaviour support plans and the impact of plan quality on restrictive intervention use

Background: The quality and effectiveness of the support provided to people with disability who show challenging behaviour can be influenced by the design and content of their behaviour support plans (BSPs). This study examined some of the factors that might influence the quality of behaviour support plans and the impact of quality of BSPs on the use of restrictive intervention.

Method: An audit of the quality of a sample of BSPs submitted to the Senior Practitioner in Victoria in the years 2009 and 2010 was conducted using the Behavior Support Plan Quality Evaluation, 2nd Edition (BSP-QE II).

Results: Factors found to positively influence quality of BSPs included: involvement of behaviour consultants and involvement of clinicians from the Office of the Senior Practitioner (Office). Overall quality of plans was also negatively related to restrictive intervention use over time.

Conclusions: The findings support the need for behaviour intervention and provision of clinical support. The findings also provide tentative support for the notion that the inclusion of evidence-based quality components into behaviour support plan formats may reduce the use of restrictive interventions.

Large versus small wood in streams : the effect of wood dimension on macroinvertebrate communities

Conventionally, most research and restoration involving in-stream wood focuses on large wood (>0.1 m diameter), excluding any smaller pieces. However, this may neglect a major component of in-stream habitat, as small wood can constitute the majority of pieces, particularly in small streams. The ecological benefit of large wood is well established, but corresponding benefits associated with small wood (0.05-0.1 m diameter) have not been demonstrated. To test the effect of wood dimension on macroinvertebrate community composition, we compared the fauna occupying large wood habitats with that occupying small wood at eight streams in south-eastern Australia. The relationships between wood dimensions and its macroinvertebrate fauna were complex. Community composition did not vary with wood dimension, and no significant correlations were found between other macroinvertebrate attributes (including family richness and evenness) and wood dimension, including diameter. However, analysis of covariance suggested that large wood supported a greater diversity and abundance of macroinvertebrates, indicating that the method of analysis could influence the result. Adjustment for differences in sample dimension using rarefaction determined that these findings were likely to be a result of the surface area and volumes sampled varying with the dimension of the wood. Per unit surface area, and per unit volume, small wood supported a similar number of families to large wood. Thus we conclude that, relative to the available surface area, small and large wood can be equivalent in their contribution to the available habitat in a stream. Therefore, the potential value of small wood as a habitat resource warrants its explicit consideration for inclusion in ecological and rehabilitation studies.

Improving the quality of professionals’ contemporaneous notes taken during interviews about alleged child abuse

The current study explored the effectiveness of note-taking instructions to increase the completeness and accuracy of professionals’ contemporaneous written notes of child abuse interviews. Police members had their base-line note-taking assessed before receiving brief instructions focusing on layout style, abbreviations, and question codes. Participants’ note-taking was reassessed immediately post-instruction and again at follow-up, 4 weeks later. Instructions increased the number of questions that participants recorded and the information that they recorded about question structure. These increases in question information did not occur at the expense of witness response information. Instructions encouraged participants to use more abbreviations and question codes and to use a clearer layout style to differentiate questions and responses. Instructing professionals in simple note-taking strategies immediately increased the completeness and accuracy of their notes. However, electronic recordings remain the most effective method of ensuring complete and accurate interview notes.

The quality of community reintegration planning for child molesters : effects on sexual recidivism

Research on the causal factors underlying sex offender recidivism has not considered the success or failure of the reintegration process by which the offender rejoins the community after prison. The authors developed a coding protocol to measure the quality and comprehensiveness of reintegration planning for sex offenders. The protocol was retrospectively applied to groups of recidivists and nonrecidivists who were matched on static risk level and follow-up time. The protocol demonstrated adequate reliability. Compared to nonrecidivists, recidivists had significantly lower scores relating to accommodation, employment, and the Good Lives Model secondary goods, as well as lower total reintegration plan scores. ANCOVAs showed that when IQ and level of sexual deviance were controlled for, accommodation (a place to live) was significantly related to sexual recidivism and the Good Lives Model—secondary goods was significantly related to any recidivism. These results suggest that poor reintegration planning may be a risk factor for recidivism.

Optimizing the quality of bootstrap-based prediction intervals

The bootstrap method is one of the most widely used methods in literature for construction of confidence and prediction intervals. This paper proposes a new method for improving the quality of bootstrap-based prediction intervals. The core of the proposed method is a prediction interval-based cost function, which is used for training neural networks. A simulated annealing method is applied for minimization of the cost function and neural network parameter adjustment. The developed neural networks are then used for estimation of the target variance. Through experiments and simulations it is shown that the proposed method can be used to construct better quality bootstrap-based prediction intervals. The optimized prediction intervals have narrower widths with a greater coverage probability compared to traditional bootstrap-based prediction intervals.

Morphometric vertebral fractures of the lower thoracic and lumbar spine, physical function and quality of life in men

The epidemiology and sequelae of morphometric vertebral fracture (MVF) are poorly documented. We found that MVFs of the lower thoracic and lumbar spine were associated with poor quality of life and impaired physical function in men. We recommend that morphometric X-ray absorptiometry be included in routine requests for bone densitometry.

Changes in body mass index and health related quality of life from childhood to adolescence

Objective . To determine longitudinal relationships between body mass index (BMI) and health-related quality of life (HRQoL) in an adolescent population sample.
Design. Data collected in 2000 and 2005 within the Health of Young Victorians longitudinal cohort study.
Setting. Originally a community sample of elementary school students in Victoria, Australia. Follow-up occurred in either secondary schools or individuals homes.
Participants. Cohort recruited in 1997 via a random sampling design from Victorian elementary schools. Originally comprising 1 943 children, 1 569 (80.8%) participated in 2000 (wave 2, 8 – 13 years) and 851 (54%) in 2005 (wave 3, 13 – 19 years).
Main outcome measures. In both waves participants and their parents completed the PedsQL, a 23-item child HRQoL measure, and BMI z-scores and status (non-overweight, overweight or obese) were calculated from measured height and weight. Associations were tested cross-sectionally and longitudinally (linear regression, adjusted for baseline values)
Results. A total of 81.6% remained in the same BMI category, while 11.4% and 7.0% moved to higher and lower categories, respectively. Cross-sectional inverse associations between lower PedsQL and higher BMI categories were similar to those for elementary school children. Wave 2 BMI strongly predicted wave 3 BMI and wave 2 PedsQL strongly predicted wave 3 PedsQL. Only parent-reported Total PedsQL score predicted higher subsequent BMI, though this effect was small. Wave 2 BMI did not predict wave 3 PedsQL.
Conclusions. This novel study confi rmed previous cross-sectional associations, but did not provide convincing evidence that
BMI is causally associated with falling HRQoL or vice versa across the transition from childhood to adolescence.