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Experiences with tailoring treatment modules in online versus face-to-face CBT
- J. Boettcher, C. Wirz, S. Paskuy, M. Böttche, B. Renneberg, B. Wagner
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- Journal:
- European Psychiatry / Volume 64 / Issue S1 / April 2021
- Published online by Cambridge University Press:
- 13 August 2021, p. S19
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Guided self-help interventions are effective in treating symptoms of various mental disorders, including depressive, anxiety, and posttraumatic stress disorders. Research also suggests that these interventions may be effective for refugee populations. However, proportion of drop-out and non-response are substantial, especially in this highly vulnerable group of patients. Tailoring treatments to the individual patient may be an important step towards improving patient-treatment fit and may help to increase success rates. While tailoring can be easily realized in face-to-face treatments, it becomes more complex in Internet-based treatments where treatment sequences are usually defined in advance. In this talk, we will present our theoretical considerations and decisions regarding the tailoring process in a randomized-controlled comparison of transdiagnostic CBT for refugee patients in an online versus face-to-face format. The trial will include N=320 Arabic speaking patients suffering from an emotional disorder. The transdiagnostic treatment includes modules for symptoms of depression, anxiety, substance abuse, post-traumatic stress, aggression, and suicidal ideation. Modules are tailored to the specific patient. We will discuss who or what should inform the tailoring decision (patient, therapist, questionnaire data, diagnostic interview) and when tailoring decisions should be made (prior and/or early and/or later in treatment). We will present options of how tailoring decisions can be standardized and be kept comparable in different treatment formats. We will present our first experiences with tailoring treatment modules to severely impaired and highly comorbid patients.
DisclosureNo significant relationships.
Sustainable use and genetic improvement
- C. Nimbkar, J. Gibson, M. Okeyo, P. Boettcher, J. Soelkner
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- Journal:
- Animal Genetic Resources Information / Volume 42 / April 2008
- Published online by Cambridge University Press:
- 01 August 2011, pp. 49-65
- Print publication:
- April 2008
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Sustainable use of animal genetic resources for agriculture and food production is proposed as the best strategy for maintaining their diversity. Achievement of sustainable use would continue to support livelihoods and minimize the long-term risk for survival of animal populations. The concept of sustainable use has economic, environmental and socio-cultural dimensions. Sustainable use of animal genetic resources also contributes to food security, rural development, increasing employment opportunities and improving standards of living of keepers of breeds. Supporting the rearing of breeds through better infrastructure, services, animal health care, marketing opportunities and other interventions would make a significant contribution to the sustainable use of animal genetic resources.
Sustainable use envisages the use and improvement of breeds that possess high levels of adaptive fitness to the prevailing environment. It also encompasses the deployment of sound genetic principles for sustainable development of the breeds and the sustainable intensification of the production systems themselves. Sustainable use and genetic improvement rely on access to a wide pool of genetic resources.
Genetic improvement programmes need to be considered in terms of national agriculture and livestock development objectives, suitability to local conditions and livelihood security as well as environmental sustainability. Genetic improvement can involve choice of appropriate breeds, choice of a suitable pure breeding or crossbreeding system and application of within-breed genetic improvement. The choice of appropriate breeds and crossbreeding systems in developed countries has been a major contributor to the large increases in productivity, and has benefited greatly from the fact that developed country animal genetic resources are well characterized and relatively freely exchanged. Where proper steps have been followed by careful assessment of demand, execution, delivery, impact and cost-benefit analyses, successful within-breed improvement has been realized within indigenous populations in developing countries. Breeding objectives and programmes for subsistence oriented and pastoralist systems are likely to be entirely different from conventional programmes. Crossbreeding has been most successful where it is followed by a rigorous selection programme involving livestock owners' participation and substantial public sector investment in the form of technical support. In any genetic improvement programme, inbreeding needs to be monitored and controlled.
Within-breed genetic improvement is normal practice in the developed world, and has become a highly technical enterprise, involving a range of reproduction, recording, computing and genomic technologies. Emerging genomic technologies promise the ability to identify better, use and improve developing world animal genetic resources in the foreseeable future. Useful systems can, however, be established without the need for application of advanced technology or processes.
Contributors
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- By Graham Allan, Donna M. Allen, Irwin Altman, Arthur Aron, Donald H. Baucom, Steven R. H. Beach, Ellen Berscheid, Rosemary Blieszner, Jeffrey Boase, Tyfany M. J. Boettcher, Barbara B. Brown, Abraham P. Buunk, Lorne Campbell, Daniel J. Canary, Rodney Cate, John P. Caughlin, Mahnaz Charania, Jennie Y. Chen, F. Scott Christopher, Jennifer A. Clarke, Marilyn Coleman, W. Andrew Collins, Michael K. Coolsen, Nathan R. Cottle, Carolyn E. Cutrona, Marianne Dainton, Valerian J. Derlega, Lisa M. Diamond, Pieternel Dijkstra, Steve Duck, Pearl A. Dykstra, Norman B. Epstein, Beverley Fehr, Frank D. Fincham, Helen E. Fisher, Julie Fitness, Garth J. O. Fletcher, Myron D. Friesen, Lawrence Ganong, Kelli A. Gardner, Jenny de Jong Gierveld, Robin Goodwin, Christine R. Gray, Kathryn Greene, David W. Harris, Willard W. Hartup, John H. Harvey, Kathi L. Heffner, Ted L. Huston, William J. Ickes, Emily A. Impett, Michael P. Johnson, Deborah J. Jones, Deborah A. Kashy, Janice K. Kiecolt‐Glaser, Jeffrey L. Kirchner, Brighid M. Kleinman, Galena H. Kline, Mark L. Knapp, Ascan Koerner, Jean‐Philippe Laurenceau, Kim Leon, Timothy J. Loving, Stephanie D. Madsen, Howard J. Markman, Alicia Mathews, Mario Mikulincer, Patricia Noller, Nickola C. Overall, Letitia Anne Peplau, Daniel Perlman, Sally Planalp, Urmila Pillay, Nicole D. Pleasant, Caryl E. Rusbult, Barbara R. Sarason, Irwin G. Sarason, Phillip R. Shaver, Alan L. Sillars, Jeffry A. Simpson, Susan Sprecher, Susan Stanton, Greg Strong, Catherine A. Surra, Anita L. Vangelisti, C. Arthur VanLear, Theo van Tilburg, Barry Wellman, Amy Wenzel, Carol M. Werner, Adam R. West, Sarah W. Whitton, Heike A. Winterheld
- Edited by Anita L. Vangelisti, University of Texas, Austin, Daniel Perlman, University of British Columbia, Vancouver
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- Book:
- The Cambridge Handbook of Personal Relationships
- Published online:
- 05 June 2012
- Print publication:
- 05 June 2006, pp xvii-xxii
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Relationships between energy balance and health traits of dairy cattle in early lactation
- B. L. Collard, P. J. Boettcher, J. C. M. Dekkers, L. R. Schaeffer, D. Petitclerc
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- Journal:
- BSAP Occasional Publication / Volume 24 / 1999
- Published online by Cambridge University Press:
- 27 February 2018, pp. 171-175
- Print publication:
- 1999
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Data were records of daily food intake and milk production, periodic measures of milk composition and all health and reproductive information from 140 multiparous Holstein cows involved in various experiments at the Agriculture Canada dairy research station in Lennoxville, Quebec. Energy concentrations of the total mixed rations were also available. Daily energy balance was calculated by multiplying the food intake by the concentration of energy in the diet and then subtracting from this quantity the expected (National Research Council) amount of energy required for maintenance (based on parity and body weight) and for milk production (based on yield and concentrations of fat, protein and lactose). Four energy balance traits were defined: (1) average daily energy balance within the first 10 to 100 days of lactation, (2) minimum daily energy balance, (3) days in negative energy balance and (4) total energy deficit during the period of negative energy balance. Health traits were the numbers of incidences of each of the following: (1) all udder problems, (2) mastitis, (3) all locomotive problems, (4) laminitis, (5) digestive problems and (6) reproductive problems. Reproductive traits were the number of days to first observed oestrous and number of inseminations. Phenotypic relationships between energy balance and health were investigated by regressing the energy balance traits on each health trait. Parity and treatment (according to the research trial that the cow was involved with) were also included in the model. Genetic parameters were estimated with restricted maximum likelihood and a model that included effects of parity, treatment and animal. Phenotypically, several significant (P<0.10) relationships between energy balance and health were observed. Cows with longer periods of negative energy balance had increased digestive problems. Cows with greater total energy deficit had more digestive problems and laminitis. Estimates of heritabilities for energy intake and milk energy were 0.42 and 0.12, respectively but estimates of heritability for all energy balance traits were zero. The low estimates for these traits may have been due to (1) low true additive genetic variance, (2) small amount of data, or (3) relatively few genetic ties among cows.
Mechanical Testing of Bonded Silicon on Insulator Wafers.
- S. N. Farrepi, B. Roberds, M. C. Boettcher, M. S. Ismail, R. W. Bower, C. A. Desmond, C. E. Hunt
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- Journal:
- MRS Online Proceedings Library Archive / Volume 239 / 1991
- Published online by Cambridge University Press:
- 22 February 2011, 287
- Print publication:
- 1991
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A series of mechanical tests have been conducted on bonded silicon to silicon (native oxide present only) and oxide to oxide wafers at several times and temperatures. Tensile tests have been designed to evaluate the strength of the bond. Tensile tests have been conducted over the full range of bond strengths ranging from the weak van der Waals forces to the full silicon bonds.