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This study examined patterns and predictors of 79 public sector therapists' practice element (PE) intentions for treating hypothetical single problem area youth with either anxiety or disruptive behavior problems. Analyses of intention profiles suggested that PE intentions varied by diagnosis and included both a majority of practices derived from the evidence base (PDEBs) and a large number of practices with minimal evidence support (PMESs) for each problem area. Hierarchical multiple regression results indicated the only significant predictor of higher PDEB intentions for both problem areas was reporting more PMES intentions. Implications for community-based research and implementation efforts are discussed. [ABSTRACT FROM AUTHOR]

This study examined the psychometric properties of the Intention Scale for Providers-Direct Items (ISP-D; 16 items), a questionnaire for assessing therapists' evidence-based practice attitudes, subjective norms, perceived behavioral control, and behavioral intentions. Participants were community mental health providers from the State of Hawaii. A confirmatory factor analysis provided support for a revised 14-item ISP-D measure that fits the data reasonably well. Subscales of this revised ISP-D demonstrated acceptable to good internal consistency, with the exception of the Perceived Behavioral Control subscale. The majority of convergent validity correlation patterns between the ISP-D and related constructs were significant and in predicted directions. [ABSTRACT FROM AUTHOR]

Women have become better represented in business, academia, and government over time, yet a dearth of women at the highest levels of leadership remains. Sociologists have attributed the leaky progression of women through professional hierarchies to various cultural and psychological factors, such as self-segregation and bias. Here, we present a minimal mathematical model that reveals the relative role that bias and homophily (self-seeking) may play in the ascension of women through professional hierarchies. Unlike previous models, our novel model predicts that gender parity is not inevitable, and deliberate intervention may be required to achieve gender balance in several fields. To validate the model, we analyze a new database of gender fractionation over time for 16 professional hierarchies. We quantify the degree of homophily and bias in each professional hierarchy, and we propose specific interventions to achieve gender parity more quickly. [ABSTRACT FROM AUTHOR]

This study examines implementation facilitators and barriers of a statewide roll-out of a measurement feedback system (MFS) in a youth public mental health system. 76 % of all state care coordinators (N = 47) completed interviews, which were coded via content analysis until saturation. Facilitators (e.g., recognition of the MFS's clinical utility) and barriers (e.g., MFS's reliability and validity) emerged paralleling the Exploration, Adoption/Preparation, Implementation, and Sustainment framework outlined by Aarons et al. (Adm Policy Mental Health Mental Health Serv Res, 38:4-23, 2011). Sustainment efforts may leverage innovation fit, individual adopter, and system related facilitators. [ABSTRACT FROM AUTHOR]

We develop a path integral framework for determining most probable paths for a class of systems of stochastic differential equations with piecewise-smooth drift and additive noise. This approach extends the Freidlin–Wentzell theory of large deviations to cases where the system is piecewise-smooth and may be non-autonomous. In particular, we consider an n -dimensional system with a switching manifold in the drift that forms an (n − 1) − dimensional hyperplane and investigate noise-induced transitions between metastable states on either side of the switching manifold. To do this, we mollify the drift and use Γ − convergence to derive an appropriate rate functional for the system in the piecewise-smooth limit. The resulting functional consists of the standard Freidlin–Wentzell rate functional, with an additional contribution due to times when the most probable path slides in a crossing region of the switching manifold. We explore implications of the derived functional through two case studies, which exhibit notable phenomena such as non-unique most probable paths and noise-induced sliding in a crossing region. • We derive a rate functional for the most probable path in a piecewise-smooth SDE. • We extend the Freidlin–Wentzell theory of large deviations to piecewise-smooth SDEs. • SDEs in n dimensions with piecewise-smooth and possibly non-autonomous drift apply. [ABSTRACT FROM AUTHOR]

As Arctic sea ice extent decreases with increasing greenhouse gases, there is a growing interest in whether there could be a bifurcation associated with its loss, and whether there is significant hysteresis associated with that bifurcation. A challenge in answering this question is that the bifurcation behavior of certain Arctic energy balance models have been shown to be sensitive to how ice-albedo feedback is parameterized. We analyze an Arctic energy balance model in the limit as a smoothing parameter associated with ice-albedo feedback tends to zero, which introduces a discontinuity boundary to the dynamical systems model. Our analysis provides a case study where we use the system in this limit to guide the investigation of bifurcation behavior of the original albedo-smoothed system. In this case study, we demonstrate that certain qualitative bifurcation behaviors of the albedo-smoothed system can have counterparts in the limit with no albedo smoothing. We use this perspective to systematically explore the parameter space of the model. For example, we uncover parameter sets for which the largest transition, with increasing greenhouse gases, is from a perennially ice-covered Arctic to a seasonally ice-free state, an unusual bifurcation scenario that persists even when albedo-smoothing is reintroduced. This analysis provides an alternative perspective on how parameters of the model affect bifurcation behavior. We expect our approach, which exploits the width of repelling sliding intervals for understanding the hysteresis loops, would carry over to other positive feedback systems with a similar natural piecewise-smooth limit, and when the feedback strength is likewise modulated with seasons or other periodic forcing. [ABSTRACT FROM AUTHOR]

Recent advances in psychological intervention research have led to an increase in evidence-based interventions (EBIs), yet there remains a lag in dissemination and implementation of EBIs. Task-shifting and the train-the-trainer (TTT) model offer two potential strategies for enhancing reach of EBIs. The Body Project, an EBI found to prevent onset of eating disorders, served as the vehicle for this dissemination/implementation study. The primary aim of this study was to determine if training of peer-leaders for the Body Project could be task-shifted to undergraduate students using a hybrid task-shifting/TTT model. Our secondary aim was to determine if subgroups of participants evidenced different trajectories of change through 14-month follow-up. Regarding the first aim, we found almost no evidence to suggest that a presence of a doctoral-level trainer yielded superior participant outcomes compared to training by undergraduates alone. Regarding Aim 2, almost all classes for all variables evidenced improvement or a benign response. Additionally, for three key risk factors (thin-ideal internalization, body dissatisfaction, and ED symptoms) virtually all trajectories showed improvement. This study provides initial support for the use of a blended task-shifting/TTT approach to dissemination and implementation within prevention generally, and further support for broad dissemination of the Body Project specifically. [ABSTRACT FROM AUTHOR]

In sea-ice-covered areas, the sea ice floe size distribution (FSD) plays an important role in many processes affecting the coupled sea–ice–ocean–atmosphere system. Observations of the FSD are sparse – traditionally taken via a painstaking analysis of ice surface photography – and the seasonal and inter-annual evolution of floe size regionally and globally is largely unknown. Frequently, measured FSDs are assessed using a single number, the scaling exponent of the closest power-law fit to the observed floe size data, although in the absence of adequate datasets there have been limited tests of this "power-law hypothesis". Here we derive and explain a mathematical technique for deriving statistics of the sea ice FSD from polar-orbiting altimeters, satellites with sub-daily return times to polar regions with high along-track resolutions. Applied to the CryoSat-2 radar altimetric record, covering the period from 2010 to 2018, and incorporating 11 million individual floe samples, we produce the first pan-Arctic climatology and seasonal cycle of sea ice floe size statistics. We then perform the first pan-Arctic test of the power-law hypothesis, finding limited support in the range of floe sizes typically analyzed in photographic observational studies. We compare the seasonal variability in observed floe size to fully coupled climate model simulations including a prognostic floe size and thickness distribution and coupled wave model, finding good agreement in regions where modeled ocean surface waves cause sea ice fracture. [ABSTRACT FROM AUTHOR]