INCREASING APPOINTMENT KEEPING BY REDUCING THE CALL-APPOINTMENT INTERVAL

We examined the effect of reducing the interval between a patient's call for an appointment and the appointment itself. In Experiment 1, patients calling a family planning unit of a public health department were assigned appointments within either 1 or 3 weeks of their call. Data on patient “shows” and “no-shows” were recorded weekly for 6 weeks. Show rates for those in the 1-week appointment group were significantly higher than those in the 3-week group. In Experiment 2, patients were assigned to appointment dates either the next operating clinic day (next-day group) or 2 weeks from the call date (2-week group). Show rates for those in the next-day group were significantly better than show rates for patients in the 2-week group. Clinic productivity, time spent with patients, and consumer satisfaction were also assessed. Implications for appointment scheduling are discussed.     

Trustworthy research—An editorial introduction

She is guest editor for this special issue ofScience and Engineering Ethics on “Trustworthy Research”.     

Effects of training and display content on Level 2 driving automation interface usability

IntroductionLevel 2 driving automation features, such as adaptive cruise control (ACC) combined with lane centering, primarily communicate their operating statuses through the instrument cluster. It remains unclear how interface-specific training and display content influence the ability to understand Level 2 activity in production vehicles.MethodsEighty participants viewed videos recorded from the driver’s point of view in a variety of driving scenarios with Level 2 activity displayed in the instrument cluster of a 2017 Mercedes-Benz E-Class. Half viewed one of two instrument cluster layouts (simple or complex), and half received an orientation to the interface before the experiment. After each video, they were asked about the scenario they had just seen. We then examined what information in the displays participants used to identify Level 2 activity and the usability of the displays.ResultsTraining improved recognition accuracy of when lane centering was temporarily inactive and understanding of why it was inactive. Neither training nor display content affected the ability to recognize when ACC had adjusted the vehicle’s speed or detected a vehicle ahead, or when ACC initially did not detect a lead vehicle and understanding of why it had not detected it. Both factors influenced which sources of information participants used to determine Level 2 activity. Recognition accuracy of system activity improved when participants used valid sources of information. Training, but not display content, improved lane centering usability, but not ACC usability.DiscussionBasic training improves detection of notifications that potentially require further driver action, but not of those that display persistent status information. Training does not result in full understanding of all system notifications or functional limitations, which reinforces the need for intuitive, salient communication about system behavior and its limitations.     

Requirements and Implementation of Maintaining Patient Records

Summary

This article will discuss the need for psychotherapists to document the statements of patients, the techniques they use, and other aspects of their work to avoid ethical and legal problems. Elements of session notes and written informed consent will be identified. No informed consent can legitimize some actions and they will be addressed.     

Helping Children Access and Use Services: A Review

High rates of dropping out from mental health services are documented for children and their families. These high rates exist at different treatment stages, in different service settings, and for different populations of children and families. Some researchers have developed and tested engagement interventions to address barriers to service access and use and increase participation in services by children and their families. Studies of engagement interventions for children and their families are critically reviewed in this paper. Overall, the engagement interventions were effective in increasing attendance at first appointments. Only those with an ecological and total service delivery approach reduced the drop-out rate. However, even then, the drop-out rate was 26% to 29%. Suggestions for future research are made, including ascertaining from children and families their reasons for quitting or staying in treatment, comparing the outcomes of drop-outs with the outcomes of those who remain in treatment, developing and testing conceptual models of engagement for subgroups of at-risk children and their families, and examining the cost-effectiveness of engagement interventions.     

Therapist responses to requests for disclosure of therapeutic records: An introductory study

This paper describes a questionnaire survey of therapists in the UK who have been subject to requests for disclosure of client records as part of a legal process. Therapist responses are outlined in terms of the perceived effect of such disclosure on the client, therapist and the therapeutic relationship. Negative effects included the experience of exposure of sensitive client material in an adversarial legal system, of powerful emotional responses by therapists, and a sense of feeling professionally de‐skilled in an unfamiliar and often challenging legal environment. Positive effects for the client included the achievement of valued outcomes such as compensation, and, for the therapist, the facilitation of support for the client in this process. These findings are discussed in terms of a contrast between therapist perceptions of consensual and contested disclosure. In the former, therapist and client are in agreement about the restorative value and outcome of disclosure. In contested disclosure, the process is experienced as disrupting therapeutic privacy, undermining professional self‐confidence and introducing an unwelcome element of critical re‐evaluation of client motives for undertaking therapy.     

Contribution Patterns in Major U.S. Marital and Family Therapy Journals: 1992 Through 2002

The institutional sources of articles published between 1992 and 2002 in five major family therapy journals—the American Journal of Family Therapy, Contemporary Family Therapy, Family Process, Journal of Family Psychology, and the Journal of Marital and Family Therapy were reviewed. Noteworthy similarities and differences as compared to earlier reviews were found. While no single institution dominated in numbers of publications, six of the top 10 institutions found between 1980 and 1995 were also found to be within the top 10 most productive institutions between 1992 and 2002. Patterns and changes in contributions from international sources, as well as from institutions with a COAMFTE-accredited program are discussed. Contributions from private practitioners and clinicians are also addressed.     

齐鲁饮食文化形态中的儒学思想

齐鲁饮食文化深受儒学思想的影响,形成了一定文化形态的饮食观念,影响人们的日常生活,并在一定的时间和空间范围内起着促进或制约社会发展的作用。齐鲁饮食习俗中“上顺天道、适时进食”的自然生态观,“长幼有序、进食有礼”的礼俗观,“敬天爱人”和谐观,“孝敬父母、以和为贵”伦理观,“以大惟美”待客观,是齐鲁饮食文化形态的主要特征,是儒学思想实现社会统治方略和社会管理的具体体现。新的历史时期,齐鲁饮食文化不断与时俱进,加强自身发展与对外交流,去粗存精引领社会饮食文化健康和谐发展。     

古人论文学语言和意象

本文介绍古人对如何解决语言和意象不相一致这一问题的一些意见,并从中归纳出四种解决问题的方法：１．让形象说话,２．抓住事物主要特征,３．不即不离地描写,４．语言浅近     

Crash avoidance and driver assistance technologies – Are they used?

Crash avoidance technologies have potential to mitigate collisions, and actual crash reductions have been identified for some systems. This study measured observed on-off rates of these technologies as an indicator of use, with a focus on lane maintenance systems (i.e., designed to keep vehicles within lanes by warning, braking, and/or steering) and studied factors that might increase their acceptance and use. Vehicles from nine manufacturers fitted with lane maintenance systems were observed at service departments during 2016. Systems were turned on in 51% of 983 vehicles. The activation rate was higher for systems with braking/steering interventions and vibrating warnings and decreased with total mileage. Large proportions of front crash prevention (93%), blind spot monitoring (99%), rear cross-traffic alert (97%), and driver monitoring alert (90%) systems were enabled, and most optional settings were set to factory defaults. Owner surveys linked to observations showed that drivers who had lane maintenance systems turned off believed warnings were distracting and unnecessary compared with drivers whose systems were on.