Liz,

Thanks for sharing. Its great to get such insights.

Toneas

On Wednesday, 4 August 2021 at 03:00:55 UTC+10 [email protected] 
wrote:

> Hi all, I'm reposting this because my first reply got deleted (spam 
> filter, I assume!)
>
> I wanted to add some reflections from the Anna Freud centre. We are very 
> excited about this development, for two main reasons: 
>
> 1. It helps us to directly connect outcomes measurement to the evidence 
> base for what works for different types of problem. 
>
> The interactive AIM sits within our tiddlywiki treatment manual, which 
> means that the suggested interventions list generated by the questionnaire 
> links directly into content on how to deliver the most appropriate 
> evidence-based intervention. We will easily be able to update this as the 
> evidence-base evolves. 
>
> 2. It helps us to overcome a major barrier to using outcomes measures in 
> practice: feasibility/ practically 
>
> Generally outcome measures like this are valued by health and social care 
> workers in principle, but the impracticality of scoring and recording the 
> data often results in low use of the measures in practice. 
>
> We want to encourage services working with young people to use the AIM to 
> plan care and assess outcome for individual young people, but also to to 
> collate the data to evaluate their service as a whole. Here is a paper 
> evaluating outcomes of a young person's substance use service that looks at 
> a series of pre- and post-treatment AIM scores for 100 young people: 
> https://journals.sagepub.com/doi/abs/10.1177/1359104521994875?journalCode=ccpa
>  
>
> Jeremy's interactive AIM, with its different options for saving the 
> results, makes it easy for workers to save the results for multiple 
> purposes - perhaps saving the .doc file to the young person's health 
> record, then copying the data into a spreadsheet capturing the whole team's 
> outcomes. 
>
> Thanks, Jeremy!
>
> Liz
>
> On Friday, 16 July 2021 at 08:14:00 UTC+1 TiddlyTweeter wrote:
>
>> Ciao Jeremy
>>
>> Thanks for that! It helps clarify what I am trying to do!
>>
>> I will post an update note in the original thread about how I look at the 
>> issue now.
>>
>> Best wishes
>> TT
>>
>> On Thursday, 15 July 2021 at 10:39:57 UTC+2 [email protected] wrote:
>>
>>> Hi TT
>>>
>>> Thank you – I was hoping you might find the translation mechanism 
>>> interesting too, does it fit your needs discussed in that other thread?
>>>
>>> You can try out the translation mechanism in the demo by switching the 
>>> language to "Spanish" in the sidebar tab; you'll get gobbledegook that 
>>> isn't Spanish, but it illustrates the difference. (Note that in the demo 
>>> only the UI is translated, the questions themselves there are only in 
>>> English).
>>>
>>> Best wishes
>>>
>>> Jeremy.
>>>
>>> Very interesting to see! Thanks.
>>> I ran through the whole thing and completed all questions. It is a 
>>> seriously real application! :-)
>>>
>>> As a side note: The Anna Freud people designed the questions really 
>>> well. It is extremely difficult to design such questionnaires in a way that 
>>> makes sense in normal English AND can produce operational,  quantitative, 
>>> meaningful, results.  Hats off to them!
>>>
>>> Best wishes
>>> TT
>>>
>>> On Wednesday, 14 July 2021 at 12:46:02 UTC+2 [email protected] wrote:
>>>
>>>> I’ve recently completed a small project for the Anna Freud National 
>>>> Centre for Children and Families in London (see https://annafreud.org/) 
>>>> to make an interactive questionnaire that has some interesting features:
>>>>
>>>>
>>>>    - Fairly sophisticated scoring of the answers to multiple choice 
>>>>    questions
>>>>    - Generating spreadsheet files that can be downloaded and opened in 
>>>>    Excel, and .DOC files that open in Microsoft Word
>>>>    - Copying spreadsheet data to the clipboard for pasting directly 
>>>>    into Excel
>>>>
>>>>
>>>> In its current form, the questionnaire is not directly reusable for 
>>>> other purposes, but I hope some of the techniques will prove useful to 
>>>> others.
>>>>
>>>> The context for this work is that the AFNCCF trains teams of care 
>>>> workers in Britain and around the world to work with the most troubled, 
>>>> hard to reach young people and their families.  For more than a decade, 
>>>> they have been working on the Adolescent Integrative Measure (AIM) to help 
>>>> care workers make a systematic, objective record of the problems affecting 
>>>> a particular young person, and to make suggestions of the interventions 
>>>> that are indicated by the answers. By repeating the questionnaire after an 
>>>> interval of months, workers can track a young persons progress. For the 
>>>> last few years, the questionnaire has been filled out on paper but there 
>>>> has long been a desire to simplify the process by moving it online.
>>>>
>>>> You can try out the questionnaire in a demo here:
>>>>
>>>> https://federatial.github.io/afnccf-aim-questionnaire/
>>>>
>>>> You can also see the questionnaire in AFNNCF's own site here:
>>>>
>>>> https://manuals.annafreud.org/ambit/#AIM%20Questionnaire
>>>>
>>>> The code is on GitHub:
>>>>
>>>> https://github.com/Federatial/afnccf-aim-questionnaire
>>>>
>>>> AIM is a series of multiple choice questions that measure the severity 
>>>> of a particular problem. The spectrum of responses is a heartbreaking 
>>>> reminder of the difficulties that young people can go through, and I’m 
>>>> very 
>>>> happy that our collective work on TiddlyWiki is helping people help people 
>>>> in these situations.
>>>>
>>>>
>>>> Workers can also mark up to 6 of the questions as being “key problems” 
>>>> to indicate that they need particular attention:
>>>>
>>>>
>>>>
>>>> There is a simple visualisation of progress through the questionnaire 
>>>> as questions are answered:
>>>>
>>>>
>>>> The questions are presented sequentially, with “next” and “previous” 
>>>> buttons to move between them, and a dropdown that enables jumping directly 
>>>> to a particular question. It also provides feedback of which questions 
>>>> have 
>>>> been completed, and which have been marked as key problems:
>>>>
>>>>
>>>> Until all the questions are answered, the results are blocked:
>>>>
>>>>
>>>> Note that if you scroll down you’ll find a button that answers all the 
>>>> questions instantly, making it easier to see the results.
>>>>
>>>>
>>>> Once all the questions have been answered, the results are displayed in 
>>>> several different tabs:
>>>>
>>>>
>>>>    - *Focal*: Each suggested intervention is ranked in order of 
>>>>    how severe the set of problems are (their averaged AIM scores) that 
>>>>    indicate that particular intervention. This is good for focusing on the 
>>>>    most severe problems
>>>>    - *Global*: Each suggested intervention is ranked according to how 
>>>>    many different problems (that is AIM items scoring greater than 2) the 
>>>>    young person has which that particular intervention is relevant for. 
>>>> This 
>>>>    is good for covering the whole set of problems and causes
>>>>    - *Limit*: Limit suggested interventions only to those relevant for 
>>>>    items identified as key problems
>>>>
>>>>
>>>> The underlying calculations are probably the most complex that I have 
>>>> attempted in TiddlyWiki (particularly the global ranking), making 
>>>> extensive 
>>>> use of the mathematics operators and the ‘reduce’ and ‘filter’ operators. 
>>>>
>>>>
>>>> (Note that the suggested interventions link to missing tiddlers in the 
>>>> demo).
>>>>
>>>> The questions comprising the questionnaire and the user interface that 
>>>> presents them can all be translated into other languages which are 
>>>> automatically engaged when TiddlyWiki’s core language is switched:
>>>>
>>>>
>>>> Answers are stored in temporary tiddlers that are not saved to the 
>>>> server, so several ways are provided to downloaded/exported them:
>>>>
>>>>    - As a .DOC file that can be read by Microsoft Word
>>>>    - As a .CSV file that can be read by Microsoft Excel
>>>>    - Via the clipboard in a format that can be pasted directly into 
>>>>    Microsoft Excel
>>>>
>>>> The technique used to generate a .DOC file is notable: it turns out 
>>>> that Microsoft Word will happily open HTML files if they have the 
>>>> extension 
>>>> .DOC. This makes generating a Word document just be a matter of exporting 
>>>> a 
>>>> static HTML file and giving it the correct extension for the download.
>>>>
>>>>
>>>> The code is published as a plugin so it’s easy to see the component 
>>>> parts:
>>>>
>>>>
>>>> Note that some of the new arithmetic features of v5.2.0 are used to 
>>>> calculate the results, but everything else should work on prior versions.
>>>>
>>>> Questions and comments welcome,
>>>>
>>>> Best wishes
>>>>
>>>> Jeremy.
>>>>
>>>>
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