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Postdisaster mental health recovery interventions including early identification, ongoing monitoring, and sustained psychosocial support are required for the high-risk population with PTSD.
The Sustained Attention to Response Task (SART), which allows unpredictable and predictable NOGO events to be contrasted, was imaged using a mixed (block and event-related) fMRI design to examine tonic and phasic processes involved in response inhibition, error detection, conflict monitoring and sustained attention.
Decoupling of attention from visual and auditory perceptions, however, interferes with the task at hand, especially when the task requires continuous stimulus monitoring and sustained attention.
The second framework, Knowledge to Action (KTA) Cycle, describes a cycle of steps for translating knowledge into clinical action (knowledge creation, problem identification, local adaptation, assessment of barriers, implementation, monitoring, and sustained use) that is underpinned by planned action theory and stakeholder involvement [ 17].
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'Training' refers to training of the providers who deliver the intervention, and monitoring and sustaining their skills.
If successful, the system would help offer the earliest identification of those in need of remediation and provide a platform for monitoring and sustaining appropriate professional response and commitment to career long continuous improvement.
As in a previous RCT in music therapy [ 34], adherence to the method and competence in its application will also be monitored and sustained through clinical supervision of music therapists/counsellors, utilising the therapists' clinical notes and video-recordings of sessions where necessary.
As a result of the action every hospital in England has been asked by the Medical Director of the NHS to ensure they have plans in place to monitor "exceptional and sustained" deterioration in performance and contingency arrangements to ensure patient safety is not compromised.
Finally, weekly feedback on fuel consumption was provided with the aim to reinforce, monitor, and sustain performance.
The Metacognition index assesses the ability to initiate, plan, organise, self-monitor and sustain working memory and the Global Executive composite is a summary score incorporating all the BRIEF clinical scales; scores >64 are indicative of a potential clinical problem.
The evidence suggests that progression to severe events may be avoided through proactive monitoring and early and sustained intervention.
Related(14)
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