the link on the AFNNCF's own site has changed: (you can access it from the 
AIM menu on https://manuals.annafreud.org/ambit/ )

https://manuals.annafreud.org/ambit/#AIM%20questionnaire%20-%20interactive%20version
On Tuesday, August 3, 2021 at 11:48:52 PM UTC+1 TW Tones wrote:

> Liz,
>
> Thanks for sharing. Its great to get such insights.
>
> Toneas
>
> On Wednesday, 4 August 2021 at 03:00:55 UTC+10 elizabeth...@googlemail.com 
> 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 jeremy...@gmail.com 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 jeremy...@gmail.com 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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