Hodges' Model: Welcome to the QUAD

Hodges' model is a conceptual framework to support reflection and critical thinking. Situated, the model can help integrate all disciplines (academic and professional). Amid news items, are posts that illustrate the scope and application of the model. A bibliography and A4 template are provided in the sidebar. Welcome to the QUAD ...

Thursday, April 29, 2010

A paper by Anzures-Cabrera & Higgins, Graphical displays for meta-analysis: An overview with suggestions for practice

The interesting paper below is currently available online:

Graphical displays for meta-analysis: An overview with suggestions for practice,
Judith Anzures-Cabrera, Julian P. T. Higgins

Keywords: meta-analysis • graphical displays • forest plot • funnel plot • Galbraith plot • L'Abbe plot

Abstract:

Meta-analyses are fundamental tools for collating and synthesizing large amounts of information, and graphical displays have become the principal tool for presenting the results of multiple studies of the same research question. We review standard and proposed graphical displays for presentation of meta-analytic data, and offer our recommendations on how they might be presented to provide the most useful and user-friendly illustrations. We concentrate on graphs that specifically aim to present similar sorts of univariate results from multiple studies. We start with forest plots and funnel plots, and proceed to Galbraith (or radial) plots, L'Abbé (and related) plots, further plots useful for investigating heterogeneity, plots useful for model diagnostics and plots for illustrating likelihoods and Bayesian meta-analyses.

Judith Anzures-Cabrera, Julian P. T. Higgins (2010) Graphical displays for meta-analysis: An overview with suggestions for practice, Research Synthesis Methods, 1, 1, 66-80.
DOI: 10.1002/jrsm.6

<->

I will explore these plot / diagram forms and update the diagrams listing on Links II accordingly. I wonder if this journal (or another?) will re-visit the question of visualization methods in the humanities - social sciences?

Wednesday, April 28, 2010

Presentation: King's College London 17 May Mental Health SIG



Can you join us at the Higher Education Academy Health Sciences & Practice Subject Centre - Mental Health SIG in London
17th May 1000 - 1600?


I am really looking forward to presenting at the Mental Health Special Interest Group next month. It looks a great prospect as I have an hour on the programme. The draft title does not really represent what I intend, paradoxically I will re-introduce Hodges' model and explain why the model is so relevant in theory and practice.

I will outline my presentation here in a future post and the programme overall. For my sins I am now also a sign-off nursing mentor, so being able to network is another great plus. More to follow ....

Here are some details about the SIG from their website:

Welcome

To date, there has been no UK wide, cross disciplinary special interest group providing a regular opportunity for educators to meet face to face - with a view to exploring common issues and challenges, sharing resources and influencing policy and practice in the field of mental health. Arguably, this has hampered educators’ capacity to shape and respond to new developments.
In February 2005 the ‘Common Ground’ event organised by the Mental Health in Higher Education project in partnership with the Health Sciences and Practice subject centre met to identify key issues facing mental health educators in nursing and the Allied Health Professions. Subsequently, the special interest group has broadened out to encompass all colleagues with an interest in sharing approaches and engaging in debate about educational practice and the implications of policy developments for learning and teaching about mental health.

Who is the Mental Health SIG for?

Anyone involved in higher education with an interest in mental health.
We are keen to bring together people from across all disciplines and perspectives (including lecturers, practice educators and user educators and carers with involvement in education) – those who are mental health specialists and those for whom mental health may be one aspect of a broader subject area.
Health Sciences and Practice Subject Centre
Room: 1.17 Franklin Wilkins Building (1st floor)
Franklin-Wilkins buildings,
King's College London,
150 Stamford Street,
London SE1 9NH

Sunday, April 25, 2010

Charity song 'Change for the Better' for World Malaria Day



We [The Butterfly Tree] are launching a charity song, entitled 'Change for the Better' for World Malaria Day, April 25th, to raise funds and global awareness of malaria.

No less that 80% will be used to buy mosquito nets and malaria testing kits.

Your support could save a child's life:

http://www.thebutterflytree.org.uk/pages/2010/africa-malaria-2010/

My source:
LinkedIn Groups, Non Profit Network - MojaLink,
Jane Kaye-Bailey

Thursday, April 22, 2010

A call for applications for the 3rd phase of Lifelong Health and Wellbeing (LLHW)


Advanced Notice

A call for applications for the third phase of Lifelong Health and Wellbeing (LLHW) will be announced in early May 2010.

Lifelong Health and Wellbeing is a major cross-council initiative involving AHRC, BBSRC, EPSRC, ESRC and MRC in partnership with the UK health departments. LLHW supports multi-disciplinary research addressing factors across the life course that influence healthy ageing and wellbeing in later life.

The initiative aims to lead to improvements in health and quality of life in later life, inform policy and practice and increase capacity building in ageing related research.

Phase 3 will invite high-quality innovative multidisciplinary applications that focus on major ageing-related challenges faced by the UK in the 21st century. Proposals will be welcome from multidisciplinary teams in the areas of, but not restricted to the following:

  • Mental Health and Wellbeing including quality of life, preserving cognitive function and exploiting mental capital
  • Resilience for successful ageing: from cell to society including life course influences, markers for ageing and processes of ageing
  • Age-related conditions, including frailty and interventions to promote independence in later life.
Structure of the call
Funds will be available through two modes of support:

LLHW Research Grants - up to £10m will be available for multi-disciplinary research awards from £300k up to £2.5m over three to five years.

LLHW Pilot Studies - a total of £2.5m to fund up to 10 pilot or feasibility studies for a maximum of two years, aimed at informing the development of future cross-disciplinary research proposals.

Selection Criteria
Successful proposals will be of strategic importance, be truly multi-disciplinary, encompassing the remits of more than one Research Council, and have clearly articulated and robust methodology and design.

Further information
Updates and further information about phase 3 can be found on the website:
https://mrc.ukri.org/research/initiatives/lifelong-health-wellbeing/

My source:
Charlotte Jones
NDA Programme Secretary
The University of Sheffield
Department of Sociological Studies
Elmfield, Northumberland Road
Sheffield, S10 2TU, UK

Wednesday, April 21, 2010

ERCIM News No. 81 Special theme: "Computational Science/Scientific Computing - Simulation & Modelling for Research and Industry"

Dear ERCIM News Reader,
ERCIM News No. 81 has just been published at http://ercim-news.ercim.eu/

Special Theme:
"Computational Science/Scientific Computing -
Simulation & Modelling for Research and Industry

- coordinated by: Ulrich Trottenberg, Fraunhofer Institute for Algorithms and Scientific Computing (SCAI), Germany, and Han La Poutré, CWI, The Netherlands
- featuring a keynote by Kostas Glinos, European Commission, DG Information Society and Media, Head of GEANT and e- Infrastructure Unit.

Next issue: July 2010
Special Theme: "Computational Biology" (see call for articles)

Thank you for your interest in ERCIM News.
Feel free to forward this message to others who might be interested.

Best regards,
Peter Kunz

<->
[PJ] This issue includes:
p. 44 A Computational Approach to Patient Flow Logistics in Hospitals by Anke Hutzschenreuter, Peter Bosman and Han La Poutré
p.48 Accurate Reconstruction of Single Individual Haplotypes for Personalized Medicine by Filippo Geraci and Marco Pellegrini
p.56 EXTRA Helps SMEs Assess their Knowledge Management Practices by Sanae Saadaoui and Frederic F. Monfils
p.57 The ACM Digital Library at the forefront of Semantic Technology by Stephanie Parker

Tuesday, April 20, 2010

Happy Birthday: W2tQ is Four! #h2cm #w2tq

Welcome to the QUAD [W2tQ] appeared four years ago today.

It started very slowly with just three posts between April 2006 and August. The annual post totals are:

2010 - 69 (so far)

2009 - 183

2008 - 180

2007 - 138
2006 - 28



Unfortunately, the plan to feature comments (this is supposed to be blog) came unstuck as back in 2006-2008 spam was an acute problem on blogger. The spam situation's much better now, but in re-installing comments the template I've adopted is proving problematic in some cussed ways. I could change the template and try again, but all that takes time ....

Although 'devoted to' Hodges' model (h2cm, the health career model), three broad themes have emerged:
  1. nursing, health, global health, public health, policy, politics
  2. informatics, technology, sociotechnical, visualization
  3. education, nursing education, academia, conferences, curricula
Let's have a look at a selection of tag-label counts:

Hodges model 150, care domains 45, definitions 41, reflection 21
  • nursing 80, health 45, global health 54, older people 39, public health 36, policy 93, politics 59
  • informatics 213, technology 62, sociotechnical 44, visualization 27
  • education 131, nursing education 9, academia 24, conference 61, curricula 18
Surprises (if any) include:
  • Drupal 52
  • economics 38
  • aptitude 4 and attitude 15 (good to see them there, I stress these constantly with students)
  • public mental health 38 (Still so much to do!)
I realise informatics is a great personal interest, but not to the extent of 213 posts. Of course, if I am helping to publicise conferences and these are faintly, just a tad bit technical then they are usually tagged informatics too.
  • dementia 26 and mental health 45
As I work in mental health and the care of people coping with dementia and their families is an ongoing part of my daily work these tags could figure more. This blog is not solely focussed upon work.

I would like to think that the blog and its posts point to the future also, by way of:
  • research 89
  • concepts 23 conceptual spaces 21
  • references 12
  • h2cm community 28, h2cm website 38
It was only last August that I added the bibliography to the blog, and as mentioned there if you can add to the list of publications please get in touch.

So as I close this post, to go light the four ;-) candles on the cake,
may I say a big -

Thank you!

- to all W2tQ's readers and supporters.

Images source:
http://www.beatrixpotteremporium.com/

The post totals and tags above are subject to change as some posts may be deleted, tags merged...

Sunday, April 18, 2010

Musings in the nursing domain (specific language)

It is one giant leap from the humanistic world of nursing, health and social care to the m(a-e)chismo of information technology. It is no Earth-bound chasm that greets us in considering the vaguest possibility that nursing could ever be captured, distilled and represented in a domain specific language (DSL). Given the full title of Hodges' model my attraction to DSLs should be obvious, but how realistic is this fascination?

Here are some links to definitions / resources on DSLs:

I am not advocating DSLs as a real time clinical software application, there is neither time here, nor on the wards. Since the sky above is clear blue with not a contrail in sight I am indulging in a little blue sky thinking, a reverie...

Nursing already has its concept analysis, but taken at face value this says nothing about domains as per h2cm (other than the context / application is nursing). To avoid confusion with career in the job-work sense, I have emphasized the notion of domains. By this I mean a partition of specific knowledge about a discipline or subject. This disciplinary focus or subject is often the province of expert practitioners. My forte then in Hodges' model are the INTERPERSONAL and SOCIAL care domains. This is my rationale for the musings here, as all experts were learners once upon a time, and are still as lifelong learners. It is an educational application that I have in mind.

I have come across a paper by Reinhartz-Berger, who describes the movement - Towards automatization of domain modeling. The author refers to domains artifacts and domain analysis:
(I have removed the reference numbers and inserted from prev para*)

A domain in this context [Domain engineering, also known as software product line engineering]* can be defined as a set of applications that use common concepts to describe requirements, problems, capabilities, and solutions. Domain artifacts are built and reused through domain analysis, which identifies the domains and captures their ontology to assist and guide system developers with particular applications in those domains. Despite the rapid growth of technologies and technical solutions, domain analysis models usually remain valid longer than domain designs and implementations, potentially justifying the cost and effort required for their development. Domain analysis artifacts may also serve as the basis for defining Domain-Specific Languages (DSL). Reinhartz-Berger (2010), p.491.
As the previous post - Reading the signs... Idealised Care - amongst several revealed, the domains within the health career model are broad to say the least. So broad that from the INDIVIDUAL-GROUP axis the left-hand margin of the INTRAPERSONAL-SOCIOLOGY# care domains are but distant horizons (with no curvature in-sight). It's no surprise that I keep wondering about how to get a grasp on that 'space', for reasons of a website, a potential community of explorers, educational objectives and sheer enthusiasm for trying to mix IT up. Reinhartz-Berger continues:
Several domain analysis methods have been proposed over the years. However, they all can be criticized as making the domain engineer alone responsible for developing correct, complete, and consistent domain analysis artifacts. Since domains may cover broad areas and are usually understood only during the development process, creating domain models can be a very demanding task. It requires expertise in the domain, reaching a very high level of abstraction, and providing flexible, yet formal, artifacts. Reinhartz-Berger (2010), p.491.
Also in the literature Chavarriaga and Macías (2009) highlight two approaches that are the focus more generally to help get a grip and the big wide world of knowledge: The Semantic Web and Web 2.0.:
... However, in spite of its semantic power, one of the main underlying problems with this [semantic] paradigm is the explicit representation and visualization of information, mainly focused on ontologies and the complex relationships that these code. This has made the Semantic Web inaccessible and unmanageable by most designers that are not expert on ontological representations and languages, but on domain specific applications and creative design.
On the contrary, the Web 2.0 paradigm provides a rather pragmatic vision. It is based on the use of wikis, folksonomies and protocols like SOAP, mainly intended to the automatic management of services and the collaborative maintenance of (mainly) syntactic knowledge-based information. Moreover, Web 2.0 can be considered an end-user paradigm. ... Chavarriaga and Macías (2009), p.1329.
The Semantic Web, Web 2.0 will (at some point) figure in the new site. A folksonomy can be quite broad by definition, as there is no strict control on the definition of terms. As to DSLs in Hodges' model, there we have four VERY broad domains. Exactly how domain analysis proceeds and what domain artifacts might emerge from this model would no doubt depend on reducing each of the domains, sub-dividing, being more specific.

If nothing else at present the health career model is a hybrid cognitive domain specific language.

References: (my source: Science Direct)

Iris Reinhartz-Berger (2010) Towards automatization of domain modeling, Data & Knowledge Engineering, Volume 69, Issue 5, May 2010, Pages 491-515. doi:10.1016/j.datak.2010.01.002

Enrique Chavarriaga, José A. Macías (2009) A model-driven approach to building modern Semantic Web-Based User Interfaces, Advances in Engineering Software, Volume 40, Issue 12, December 2009, Pages 1329-1334. doi:10.1016/j.advengsoft.2009.01.016

Wednesday, April 14, 2010

Reading the signs - Idealised Care

Hodges' model
With the axes of the health career model labelled and the care domains - that fall between - identified, what can we read into and from the health career - care domains - model?

What basics of care and caring can we find there, what assumptions can we jump upon?

Here is a list ... (which also illustrates how the model grows with the learner) :)



  • Health, well-being and social care are not declared in the face of the model, this suggests the model is high-level - generic.
  • Health care (here) has at least seven disciplinary degrees of freedom:

    • Sciences (biology, physics, chemistry)
    • Politics
    • Psychology
    • Sociology
    • Spirituality
  • Health and social care theory and practices are reductive.
  • Health care involves the traversal of space - distance.
  • Health and social care has the potential to be depersonalising and alienating.
  • Health and social care is simple and complex.
  • The environment is inherent within the model in its varied forms.
  • There is a moment of imbalance within the INDIVIDUAL - GROUP.
  • Context is essential as a means to situate care (co-ordinate in an 'x','y' sense).
  • The means is provided to situate the care context in a person-centred way.
  • This model provides a template for personal and group reflection (shallow or deep).
  • The model is open in terms of the final content, the content as expressed in care approach, philosophy, discipline, description (concepts, problems, priorities, strengths, a 'mash-up') is not dictated.
  • In acknowledging the existence and primacy of the individual (located at the top so - must be important), the model provides a (potential) focus and vehicle for individualised, personalised, person-centred care.
  • Whilst individualised care is at the center of care theory, practice and management, it cannot be defined purely by virtue of the INDIVIDUAL-group axis and the claim of an associated INTRA-INTERPERSONAL care domain.
  • The individual must also be considered as a POLITICAL entity, a citizen, a legal entity that falls under the auspices of human rights. As such the individual is someone who can (or has previously) expressed their choices, wishes as to their health, care, well-being, best interests.
  • Being an INDIVIDUAL within the family of humankind - 1 of some 6.x or > 7 billion - this person is unique and deserving of highest quality care, dignity and respect that should be accorded to all people.
  • Health and social care whilst organisationally distinct (POLITICAL - POLICY) are to the INDIVIDUAL and carers (GROUP) concurrent, transparent and ideally integrated activities.
  • Physical care (SCIENCES) can be, and is, defined in mechanistic terms; for example, time (objective), events, place, outcomes, observations / data (discrete, quantitative).
  • Physical care is hence primarily objective.
  • Emotional INTERPERSONAL care can be, and is defined in humanistic terms; for example, time (subjective), communication, responses to events (behaviour), feelings, beliefs, relationships (SOCIAL), expectations, fears, observations / data (subjective, qualitative).
  • Physical care, emotional care is often mediated through the SOCIAL domain and the group - the family unit.
  • Since this model indicates an initial structure and content the model is of potential use as a reflective resource for novice through to expert.
  • The model is generic and as such not limited to health and social care.
  • Such is the generic nature of the model it can support all learners in lifelong learning.
  • The Spiritual is not there: it is ineffable. It is everywhere, everything, every'I' and everynow.
  • Time is inherent in several forms within health and social care.
  • The economics of health care is infused to all the domains, notably in the first instance to the SCIENCES and SOCIAL domains.
  • The economic effects upon the individual in a humanistic sense, may be remote, but is inverse in terms of its impact.
  • The model reinforces dualism: mind - body (but cognitively innoculates also).
  • In highlighting boundaries, dichotomy, limits the model can stress the need for integration.
  • The model suggests an antipodean fracture in relationships*: the patient and clinician (across physical care and mental health) inhabit the Northern hemisphere; while the carer (public), manager and policy maker the Southern.
  • Health and social care is grounded in human communication (and that which is mediated).
  • 'Sense making' must be a key issue in health and social care.
  • Given the scope of the model, technology must be making a major impact across all fields of health and social care.
  • The model can simultaneously represent the SOCIO- and the -TECHNICAL.
  • A great many (potentially - all) values and standards are inherent in the model.
  • This model can be represented using many media.
  • This model is open to the Management Consultant's delicacy alphabet soup, i.e. using letters to represent approaches / methods, e.g. 4P's, 4C's.
  • Health and social care can also be described holistically.

*Clearly, given the relationships and issues that arise this bears further examination and discussion.


This list is subject to revision - addition.

Image source:
http://en.wikipedia.org/wiki/File:Antipodes_LAEA.png