We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.
To save content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about saving content to .
To save content items to your Kindle, first ensure no-reply@cambridge.org
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about saving to your Kindle.
Note you can select to save to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
Parrots are popular companion animals but show prevalent and at times severe welfare issues. Nonetheless, there are no scientific tools available to assess parrot welfare. The aim of this systematic review was to identify valid and feasible outcome measures that could be used as welfare indicators for companion parrots. From 1,848 peer-reviewed studies retrieved, 98 met our inclusion and exclusion criteria (e.g. experimental studies, captive parrots). For each outcome collected, validity was assessed based on the statistical significance reported by the authors, as other validity parameters were rarely provided for evaluation. Feasibility was assigned by considering the need for specific instruments, veterinary-level expertise or handling the parrot. A total of 1,512 outcomes were evaluated, of which 572 had a significant P-value and were considered feasible. These included changes in behaviour (e.g. activity level, social interactions, exploration), body measurements (e.g. body weight, plumage condition) and abnormal behaviours, amongst others. Many physical and physiological parameters were identified that either require experimental validation, or veterinary-level skills and expertise, limiting their potential use by parrot owners themselves. Moreover, a high risk of bias undermined the internal validity of these outcomes, while a strong taxonomic bias, a predominance of studies on parrots in laboratories, and an underrepresentation of companion parrots jeopardised their external validity. These results provide a promising starting point for validating a set of welfare indicators in parrots.
Who should have a say in a given decision for it to count as democratic? This is the question with which the so-called democratic boundary problem is concerned. Two main solutions have emerged in the literature: the All-Affected Principle (AAP) and the All-Subjected Principle (ASP). My aim in this chapter is to question the presuppositions underpinning the boundary-problem debate. Scholars have proceeded by taking democracy for granted, treating it as an ultimate value. Consequently, the best solution to the boundary problem has been framed as the one that most loyally reflects the value of democracy. But it is not at all obvious that democracy is best conceptualised as an ultimate value. Arguably, democracy marks out a family of decision-making systems that are themselves justified by appeal to how they reflect and promote important values in particular circumstances. The values in question range from equality and self-determination, to peace, security, and respect for fundamental rights. Thus, what we call “democracy” is itself one of several possible solutions to the boundary problem: a solution that is contingently justified by appeal to a variety of different values. This means that neither the AAP nor the ASP can provide one-size-fits-all solutions to the problem.
This study aimed to examine the feasibility and preliminary effectiveness of a behavioral activation (BA) program for the bereaved of cancer patients toward reducing depressive symptoms.
Methods
The BA program for the bereaved was a partially modified version for cancer patients. This program encompassed a preinterview and seven 50-minute sessions every 1–2 weeks, using worksheets, with homework assignments each day. To examine feasibility, the completion rates of intervention and 3 months of follow-up were examined. To examine the preliminary effectiveness, psychological symptoms were assessed with the Patient Health Questionnaire (PHQ-9; primary outcome) and Beck Depression Inventory-II (BDI-II) for depression and the Generalized Anxiety Disorder-7 (GAD-7) for anxiety. These were evaluated 3 times: before, immediately after, and 3-month post-intervention. Non-parametric tests were used for comparison of scores at 3 time points and calculation of effect size.
Results
Of the 42 bereaved who were contacted, 21 were eligible and 20 were participated, while 19 and 18 were in the completed intervention and completed 3-month post-intervention categories (intervention completion rate was 95% and follow-up completion rate was 90%). PHQ-9, BDI-II, and GAD-7 showed significant reductions immediately and 3 months after the intervention compared to pre-intervention, and the effect sizes were all large after 3 months, although they were less than immediately after (PHQ-9: 0.89, 0.71; BDI-II: 0.88, 0.67; GAD-7: 0.57, 0.53).
Significance of results
This study indicated that the BA program for the bereaved of cancer patients was feasible and effective vis-à-vis reducing depressive symptoms.
The psychometric rigor of unsupervised, smartphone-based assessments and factors that impact remote protocol engagement is critical to evaluate prior to the use of such methods in clinical contexts. We evaluated the validity of a high-frequency, smartphone-based cognitive assessment protocol, including examining convergence and divergence with standard cognitive tests, and investigating factors that may impact adherence and performance (i.e., time of day and anticipated receipt of feedback vs. no feedback).
Methods:
Cognitively unimpaired participants (N = 120, Mage = 68.8, 68.3% female, 87% White, Meducation = 16.5 years) completed 8 consecutive days of the Mobile Monitoring of Cognitive Change (M2C2), a mobile app-based testing platform, with brief morning, afternoon, and evening sessions. Tasks included measures of working memory, processing speed, and episodic memory. Traditional neuropsychological assessments included measures from the Preclinical Alzheimer’s Cognitive Composite battery.
Results:
Findings showed overall high compliance (89.3%) across M2C2 sessions. Average compliance by time of day ranged from 90.2% for morning sessions, to 77.9% for afternoon sessions, and 84.4% for evening sessions. There was evidence of faster reaction time and among participants who expected to receive performance feedback. We observed excellent convergent and divergent validity in our comparison of M2C2 tasks and traditional neuropsychological assessments.
Conclusions:
This study supports the validity and reliability of self-administered, high-frequency cognitive assessment via smartphones in older adults. Insights into factors affecting adherence, performance, and protocol implementation are discussed.
Children with Severe Acute Malnutrition (SAM) are at risk of developmental problems. Psychosocial stimulation can improve the developmental outcomes of hospitalised children with SAM. However, the intervention has remained underutilised in health facilities in resource-poor settings. Moreover, there is limited evidence on the acceptability and feasibility of the intervention. We conducted a qualitative study to explore the acceptability and feasibility of integrating psychosocial stimulation interventions in the inpatient care of children with SAM in selected areas in the Silti Zone, Central Ethiopia. Nine focus group discussions and 15 key informant interviews were conducted with parents, health workers, and other stakeholders. The data were transcribed, translated, and analysed using a thematic approach. Caregivers and health workers had positive attitudes toward the intervention and perceived it beneficial for the children’s development, recovery, and bonding with the mothers. Health workers reported barriers such as lack of materials, time, and space, capacity building training, and supervision for the effective implementation of the intervention. At the household level, gendered factors such as the housework burden of mothers and the inadequate engagement of fathers in childcare were the main challenges to the implementation of the intervention. Overall, psychosocial stimulation intervention was found to be acceptable and feasible for routine implementation with inpatient care provided for children with SAM. The study recommends supporting health facilities, health workers, and partners with the necessary resources and skills to promote the implementation of stimulation interventions along with the existing care provided in health facilities in resource-poor settings.
This chapter studies the feasibility of the SDGs to improve our understanding of the empirical link between government expenditure and development outcomes. First, we explain the strategy to produce prospective (counterfactual or otherwise) analyses with the computational model and two metrics to evaluate advances in development gaps. Second, we present simulation results showing the development gaps by 2030 when the historical budget, in real terms, is preserved during the remaining years of the current decade. Third, we conduct sensitivity analyses that involve changes in the overall budget size that modify the value observed at the historical period used for calibration. Fourth, we present some reflections on the results.
This essay revisits the metanormative version of the motivational critique of contemporary conceptions of cosmopolitan justice. I distinguish two ways of understanding this critique as leveling the charge of infeasibility against cosmopolitanism. Cosmopolitan motivation can be understood to be infeasible because it is impossible or because it is not reasonably likely to be achieved if tried. The possibilistic understanding is not persuasive, given that examples show that cosmopolitan motivation is possible. The conditional probabilistic understanding is more compelling, by contrast, because under certain social conditions it may not be reasonably likely that cosmopolitan motivation is achieved if tried. I argue, however, that whether cosmopolitan motivation is infeasible in the conditional probabilistic sense depends on malleable social conditions, given that, according to a plastic account of the human moral mind developed by Allen Buchanan, social conditions can undermine or favor the formation of cosmopolitan motivation. I illustrate this plastic account by showing how it can explain recent anticosmopolitan orientations as “tribalistic” reflexes to global crises, like the COVID-19 pandemic, which involved competition for survival resources and (existential) threats. I conclude that cosmopolitan motivation is not infeasible under all social conditions and that cosmopolitanism therefore requires bringing about and maintaining those social conditions under which cosmopolitan motivation is feasible.
Clinical research studies run the risk of being in a deficit leading to premature study termination or a desperate struggle to find new funding to continue the research. It is important for institutions, small or large, to have financial oversight during the research process. We created a financial audit process for a core clinical research department at a pediatric hospital. Understanding where to find your costs, what costs are important, and other elements of the audit process are essential. Knowing how to replicate a financial audit process can help you eliminate the risk of a financial deficit.
Les aînés qui vivent avec des problèmes de santé mentale ou des difficultés psychosociales sont souvent isolés et marginalisés. Le programme Participe-présent a été développé dans le but de promouvoir leur participation communautaire. Les objectifs de cette étude étaient de 1) décrire la pertinence, l’acceptabilité, et la faisabilité du programme lors de sa mise à l’essai et 2) d’explorer les bienfaits et les effets à court-terme du programme pour les participants. Vingt-trois aînés, quatre animateurs et trois responsables provenant de quatre organismes ont participé à l’étude. Les aînés ont été satisfaits de leur expérience de participation au programme et ont rapporté une meilleure connaissance des ressources et une plus grande satisfaction à l’égard de leur vie sociale. Les animateurs et les responsables d’organismes ont souligné l’adaptabilité de Participe-présent aux besoins de leur clientèle et à leur contexte de pratique, et ont identifié les facilitateurs et les obstacles à sa mise en œuvre. D’autres études mèneront à des recommandations favorisant le succès de la mise en œuvre de Participe-présent dans différents contextes.
To evaluate the feasibility and safety of employing a Eustachian tube video endoscope with a supporting balloon as a viable treatment and examination option for patients with Eustachian tube dysfunction.
Methods
A study involving nine fresh human cadaver heads was conducted to investigate the potential of balloon dilatation Eustachian tuboplasty using a Eustachian tube video endoscope and a supporting balloon catheter. The Eustachian tube cavity was examined with the Eustachian tube video endoscope during the procedure, which involved the dilatation of the cartilaginous portion of the Eustachian tube with the supporting balloon catheter.
Results
The utilisation of the Eustachian tube video endoscope in conjunction with the supporting balloon catheter demonstrated technical ease during the procedure, with no observed damage to essential structures, particularly the Eustachian tube cavity.
Conclusion
This newly introduced method of dilatation and examination of the Eustachian tube cavity using a Eustachian tube video endoscope and the supporting balloon is a feasible, safe procedure.
Naturalistic online grocery stores could provide a novel setting for evaluating nutrition interventions. In 2021–2022, we recruited US adults (n 144, 59% low-income) to complete two weekly study visits: one in a naturalistic (‘mock’) online grocery store developed for research and one in a real online grocery store. Participants selected groceries and responded to survey questions. Analyses examined survey responses and expenditures on fifteen food categories (e.g., bread, sugar-sweetened beverages). Nearly all enrolled participants completed both visits (98% retention). Moreover, nearly participants all reported that their selections in the naturalistic store were similar to their usual purchases (95%) and that the naturalistic store felt like a real store (92%). Participants’ spending on food categories in the naturalistic store were moderately-to-strongly correlated with their spending in the real store (range of correlation coefficients: 0⋅36–0⋅67, all P-values < 0⋅001). Naturalistic online grocery stores may offer a promising platform for conducting nutrition research.
In this study we investigated the robustness of the WelFur welfare assessment system for farmed mink (Neovison vison) to date of assessment in the winter and growth assessment periods. The prevalence of occurrences of certain measurements was hypothesised to increase with date of assessment (too thin, fur-chewing and stereotypic behaviour in the winter period and injuries, diarrhoea and exploratory mink in the growth period). The welfare was assessed on eight Danish mink farms according to the WelFur-Mink protocol. Each farm was assessed once in the nursing period (to be able to calculate WelFur-Mink scores), four times in the growth period and three times in the winter period. WelFur scores were calculated based on the assessments in the three periods: one calculation for each assessment in the winter and growth periods. The odds of fur-chewing increased with date of assessment in the winter period, and the odds of injuries, diarrhoea and exploratory mink increased with date of assessment in the growth period. The odds of too thin mink in the winter period decreased, ie the change was in the opposite direction to what was expected. The effect of these changes on the aggregated WelFur scores on the higher levels was limited, but could potentially lead to changes in the overall welfare categorisation of farms if the principle scores were close to a threshold between two categories. A potential way to eliminate the effect of date of assessment could be to develop a correction factor for the measurements that can be expected to change within each assessment period.
In this study we present a semi-random sampling method developed for the sampling of mink (Neovison vison) for on-farm welfare assessments according to the WelFur-Mink system. The only information required for implementation of this method is the number of cages in use in each shed on the farm. The representativeness of samples selected with this method was evaluated in relation to the physical characteristics of the farm and the mink characteristics by simulated sampling on a farm with a complicated structure in the growth period. The selection of 10,000 samples was simulated. The trueness was, in general, high, ie the method has no systematic skewness. The precision was low for certain factors due to the high variation within sheds. The sampling in sections of six adjacent cages means that it is often not possible to select a sample which is an exact representation of the mink and their housing environment. If accepting a deviation of ± one cage section, the estimated probability of selecting a representative sample was high for most of the individual factors. However, the estimated probability of selecting a sample that is representative according to all factors was rather low. This deviation from exact representativeness ought to be evaluated in the light of the increased feasibility and repeatability offered by the method. Also, we expect that the representativeness of samples selected with this method will be higher on other less-complicated farms. We suggest that this simple method balances feasibility and representative sampling in a way that makes it useful in the WelFur-Mink system.
Although conservation translocations always aim to result in ‘conservation benefit’ for a species or ecosystem, there are many motivations and contexts in which people undertake conservation translocations. Establishing a need for translocations involves considering other ways to deliver the ‘conservation benefit’ to a species or ecosystem. Typically, translocations are initiated alongside other conservation measures. Destination sites must be carefully selected based on more than just vegetation type; attention must be paid to climate, biotic interactions, and other species’ requirements for survival. Socio-economic risks and benefits and legislative constraints should also be considered when evaluating destination sites. Translocated plants, animals, or fungi may be sourced from in situ or ex situ populations, or a combination of the two. Ideally, source populations are those that can support the removal of individuals for translocation without negative consequences for individuals that remain in the wild. It also helps to have ecological similarity between source and destination sites when using wild individuals. Releases should only occur where the original cause of extirpation/decline has been minimised. The choice of one or several sites, and the possibility of several releases over multiple timepoints should be considered, perhaps using pilot releases to evaluate suitability. Monitoring is crucial to being able to report the outcome of the conservation translocation but, perhaps more importantly, allows the translocation team to adapt to changes in status and may prompt the implementation of an exit strategy. Sharing monitoring results is important for others to benefit from lessons learnt. Seek as much advice as you can in the planning phases and build a team that can deliver the various components of the project.
This chapter claims that wild animal suffering is not intractable, nor interventions to reduce it are infeasible. To label certain interventions to reduce wild animal suffering as infeasible is merely to state that we cannot achieve them given our current state of knowledge. This is, at best, only partially true, considering the array of low-impact interventions presently available. At any rate, the fundamental discussion is not about which ways of helping animals in nature are already available, but rather whether we have reasons to develop the means that will make it increasingly more feasible to help them. Feasibility should be understood dynamically and conditional upon trying. With regard to large-scale interventions, we can affect their feasibility by putting ourselves in a position to achieve them, both individually and collectively. This could mainly be done by developing welfare biology as a new field of research as well as by adopting a future-focused approach to animal advocacy.
Looked-after children are at risk of suboptimal attachment patterns and reactive attachment disorder (RAD). However, access to interventions varies widely, and there are no evidence-based interventions for RAD.
Aims
To modify an existing parenting intervention for children with RAD in the UK foster care setting, and test the feasibility of conducting a randomised controlled trial (RCT) of the modified intervention.
Method
The intervention was modified with expert input and tested on a case series. A feasibility and pilot RCT compared the new intervention with usual care. Foster carers and children in their care aged ≤6 years were recruited across nine local authorities, with 1:1 allocation and blind post-treatment assessments. The modified intervention was delivered in-home by trained mental health professionals over 4–6 months. Children were assessed for RAD symptoms, attachment quality and emotional/behavioural difficulties, and foster carers were assessed for sensitivity and stress.
Results
Minimal changes to the intervention programme were necessary, and focused on improving its suitability for the UK foster care context. Recruitment was challenging, and remained below target despite modifications to the protocol and the inclusion of additional sites. Thirty families were recruited to the RCT; 15 were allocated to each group. Most other feasibility outcomes were favourable, particularly high numbers of data and treatment completeness. The revised intervention was positively received by practitioners and foster carers.
Conclusions
A large-scale trial may be feasible, but only if recruitment barriers can be overcome. Dedicated resources to support recruitment within local authorities and wider inclusion criteria are recommended.
Stroke education is a key factor in minimising secondary stroke risk, yet worldwide stroke education rates are low. Technology has the potential to increase stroke education accessibility. One technology that could be beneficial is augmented reality (AR). We developed and trialled a stroke education lesson using an AR application with stroke patients and significant others.
Methods:
A feasibility study design was used. Following development of the AR stroke education lesson, 19 people with stroke and three significant others trialled the lesson then completed a customised mixed method questionnaire. The lesson involved narrated audio while participants interacted with a model brain via a tablet. Information about participant recruitment and retention, usage, and perceptions were collected.
Results:
Fifty-eight percent (n = 22) of eligible individuals consented to participate. Once recruited, 100% of participants (n = 22) were retained. Ninety percent of participants used the lesson once. Most participants used the application independently (81.82%, n = 18), had positive views about the lesson (over 80% across items including enjoyment, usefulness and perception of the application as a good learning tool) and reported improved confidence in stroke knowledge (72.73%, n = 16). Confidence in stroke knowledge post-lesson was associated with comfort using the application (p = 0.046, Fisher’s exact test) and perception of the application as a good learning tool (p = 0.009, Fisher’s exact test).
Conclusions:
Technology-enhanced instruction in the form of AR is feasible for educating patients and significant others about stroke. Further research following refinement of the lesson is required.
This chapter explores what apocalyptic thought shares with ideal theory, with a focus on our grounds for believing any proposed account of the ideal society. As John Rawls understands it, ideal theory is based on plausible reasons that others should accept, whereas religious belief is unsuitable to collectively guide society. Some, though, have questioned Rawls’s confidence in ideal theory, and this chapter draws on social science research to place these criticisms on firmer ground. It outlines an argument for why future uncertainty makes it impossible to offer a plausible defense of ideal theory. As a result, ideal theory, like religious belief, ultimately must rest on faith. Though ideal theory must abandon aspirations of outlining an ideal to collectively guide society, there is still a potential role for it as a source of utopian hope.
The acceptability, feasibility and possible benefits of the Adult Version of TBT-S were evaluated in a multi-center open trial administered in an intensive 5-day group format for adults with AN and their Supports conducted at the University of California San Diego Eating Disorders Program for Treatment and Research and The Center for Balanced Living in Columbus, OH. Preliminary results of open trials of the SE-AN and Young Adult Versions of TBT-S are promising and suggest this novel treatment is feasible and acceptable. To establish treatment efficacy, fully-powered randomized controlled trials are necessary.
Why would secular thinkers find in Christian apocalyptic beliefs – often dismissed as bizarre – appealing tools for interpreting politics? This chapter aims to unpack that puzzle. A helpful approach for understanding apocalyptic thought’s appeal is the lens of ideal theory, which tries to imagine the best and most just society. Ideal theory faces a daunting task: outlining a goal that is both utopian and feasible. To be worth striving for, the ideal must be utopian and possess sufficient moral appeal to justify the transition costs needed to achieve it. Yet the ideal also must be feasible, since it is difficult to justify dedicating limited resources to pursue the impossible. These competing goals result in a catch-22: a more utopian ideal is a less feasible moral goal, which diminishes reasons to strive for it, but a more modest and feasible ideal is a less appealing moral goal, which also diminishes reasons to strive for it. What I call cataclysmic apocalyptic thought proposes a way out of this dilemma. It embraces a utopian goal and declares it feasible by pointing to crisis as the vehicle to wipe away corruption and bring the seemingly impossible within reach.