The implementation of routine outcome measures in a Tier 3 Psychological Therapies Service: The process of enhancing data quality and reflections of implementation challenges

Background: The Newham Psychological Therapies Service (PTS) has been using the CORE System of evaluation to demonstrate effectiveness since 2004. More recently there has been the national and local drive to improve outcomes as outlined by a number of Department of Health policies and the Improving Access to Psychological Therapies (IAPT) initiative. Aims: This paper describes how, as a secondary care complex mental health service, we have engaged with the process of outcome measurement through complementing the usage of the CORE System with additional measures forming the service pilot minimum dataset. The process of implementation is outlined along with reflections on the challenges which the service faced in introducing outcome measurement. Findings: Engagement with outcome measurement by a service requires attention to be paid to the organisational and professional aspects and personal resonances for clinicians if it is to become established as a meaningful enterprise within secondary care services. Despite success at this task, challenges remain to the further development of this area of work.     

Re-evaluating the extractive foraging hypothesis

In his seminal 1992 paper, Dunbar examined three hypotheses advanced to explain primate intelligence, arguing that whereas his social group size hypothesis was supported, neither of two ecological hypotheses, the extractive foraging and frugivory hypotheses, were supported. Following this, and Dunbar's subsequently elaborated argument, many investigators concluded that primate intelligence arose as social rather than ecological adaptations. This paper questions Dunbar's characterization of extractive foraging and social intelligence as alternative hypotheses, raises sampling issues about Dunbar's brain data, species choice, and measurement of extractive foraging. It summarizes the extractive foraging hypothesis, and counters its critics. It reexamines the hypothesis in light of recent behavioral and brain data, new methodology for quantifying extractive foraging, and a new phylogeny of primate intelligence. It concludes that the extractive foraging hypothesis is now supported by several converging lines of evidence.     

Relationships between climate, process, and performance in continuous quality improvement groups

This study examined relationships between group climate (participants’ learning orientation, feelings of psychological safety, and self-disclosure), process (feedback and conflict), and performance in continuous quality improvement groups. Forty-nine participants in eight hospital groups were surveyed as the groups neared completion. Groups were classified as high or low performing based on interviews with group leaders and facilitators. Ratings of self-disclosure and feelings of psychological safety were related to lower relationship and task conflict and more giving and seeking feedback. Learning orientation was positively related to feedback. Climate and feedback were positively related to creativity of outcomes, while learning orientation and having an active facilitator were related to performance ratings. High performing teams were higher in ratings of learning orientation, facilitation, creativity of outcomes, and overall performance. The results demonstrate the importance of facilitation of learning and interpersonal relationships within structured groups.     

Personality and lexical decision times for evaluative words

We studied personality influences on accessibility of pleasant and unpleasant stimuli in a sample of 129 students. Self‐reports and reports by knowledgeable informants on extraversion, neuroticism, approach temperament and avoidance temperament were combined with a go/no‐go lexical decision task that included pleasant, unpleasant and neutral words, and two response modes, manual and vocal. The data were analysed using multilevel modelling. Extraversion and approach temperament predicted faster identification of pleasant words than of neutral and of unpleasant words. Vocal responses took longer than manual responses, but mode of response did not interact with the valence of the words. Copyright © 2009 John Wiley & Sons, Ltd.     

L’insertion professionnelle des enseignants débutants au Québec

With an aim of checking if educational circles took into account the professional induction of their beginning teachers, in the context of the renewed teacher educational formation, we investigated the working experience of newly graduated high-school teachers from University of Montreal in the years 1998-1999-2000. This study also tries to see if the renewed teacher educational formation inaugurated in 1994 plays a facilitating role in the beginning high school teachers’ induction and if professional exhaustion is part of their problems. The results obtained indicate that 94 % (N=165 out of 176) of the beginners participating in our study considered to have succeeded in their professional insertion. Most of them find their initial formation adequate. They say to be especially satisfied of the quantity and quality of the training courses and state that their formation covers well the various aspects of the actual teacher’s task. Beginners also find that school Commissions should greatly improve their facilitating measures of professional insertion. The results of the investigation showed that the professional insertion of the beginners is more difficult in the absence of helping measures. Finally, although the majority of beginners complain about the heaviness of their task, the investigation reveals that professional exhaustion does not play a part in the success or failure of their induction.     

视觉追踪作业心理负荷的多变量评估研究

敏感性是心理负荷测量技术可靠性的基本要求。该研究利用主任务绩效、次任务绩效、主观“加权负荷”评定和心率变异变化率四项指标,在计算机模拟情境下对视觉追踪作业心理负荷进行多变量评估实验。结果发现,以上述四项指标为基础建立的“综合加权评估指数”是一项较有效的评估指标,其敏感性远高于任何单独的评定。     

Do procedures really matter when rewards are more important? A Pakistani perspective on the effects of distributive and procedural justice on employee behaviors

Introduction

Researchers agree that procedural justice and distributive justice interact so that high procedural fairness reduces the negative consequences of distributive unfairness.

Relations between a laboratory-based sustained attention task and traffic violations in an Iranian sample of drivers

The role of cognitive abilities regarding driver behavior is crucially important in the occurrence of traffic violations and preventing tragic motor vehicle collisions. Sustained attention is one cognitive ability that may contribute to safe driving behavior. The present study investigated the relation between sustained attention and traffic violations. One hundred and one Iranian male drivers (age: M = 37.17, SD = 8.37) with at least 2 years driving experience voluntarily participated in the study. Participants were categorized into two groups based on the number of driving rule violations they committed over the last 2 years (n = 48 clean record, n = 53 violators). Sustained attention was measured by performance on the Conjunctive Continuous Performance Task (CCPT). Four CCPT performance measures were computed: (1) Mean reaction time for correct responses (M-RT); (2) standard deviation of reaction times for correct responses (SD-RT); (3) percent of omission errors (failure to respond to target stimulus); (4) percent of commission errors (identification of a non-target stimulus as target). Results showed after controlling for age and education, there was a significant group difference on M-RT, indicating that individuals with no traffic violations had faster reaction times as compared to those who had 1 or more traffic violations. No effect of group on any of the other outcomes was present after correcting for alpha inflation. When assessing the effect of age and education, education was significantly related to average reaction time and percent of omission errors. No significant effect of age was apparent. Findings suggest cognitive function, specifically sustained attention measured with a laboratory-based measure, may be associated with safe driving behavior.