Structured decision making (SDM) approaches have been advocated as a means of improving the quality of environmental and related risk management decisions based largely on the self-reported behavior of decision makers. The goal of the research presented here was to test this basis for decision quality by comparing the self-reported assessments of individual decision makers with their actual choice behavior across a set of three related environmental contexts. It was hypothesized that a modified structured decision approach would lead participants to make better informed decisions which accurately reflected their objectives, not based solely on self-reports, but also on internally consistent decision making behavior. Results from this study only partially support this hypothesis. While individuals' self-reports suggest that the structured approach outperformed results from an unstructured control condition, there was a lack of agreement between these self-reported evaluations and actual choice behavior. Beyond the obvious policy implications of decisions that are inconsistent with stated objectives, these findings point to the need for improved metrics when evaluating the quality of environmental decision processes.
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http://dx.doi.org/10.1021/es051932b | DOI Listing |
Ann Intern Med
January 2025
959 Medical Operations Squadron, U.S. Air Force, Department of Neurology, Brooke Army Medical Center, San Antonio, Texas (T.K.).
Description: In July 2024, the U.S. Department of Veterans Affairs (VA) and U.
View Article and Find Full Text PDFJ Med Internet Res
January 2025
Department of Basic and Community Nursing, School of Nursing, Nanjing Medical University, NanJing, China.
Background: Telehealth interventions can effectively support caregivers of people with dementia by providing care and improving their health outcomes. However, to successfully translate research into clinical practice, the content and details of the interventions must be sufficiently reported in published papers.
Objective: This study aims to evaluate the completeness of a telehealth intervention reporting in randomized controlled trials (RCTs) conducted for caregivers of people with dementia.
The Canadian Genomics Research and Development Initiative for Antimicrobial Resistance (GRDI-AMR) uses a genomics-based approach to understand how health care, food production and the environment contribute to the development of antimicrobial resistance. Integrating genomics contextual data streams across the One Health continuum is challenging because of the diversity in data scope, content and structure. To better enable data harmonization for analyses, a contextual data standard was developed.
View Article and Find Full Text PDFJ Clin Psychiatry
January 2025
Department of Veterans Affairs, Washington, DC.
The US Department of Veterans Affairs (VA) and Department of Defense (DOD) Work Group revised the 2013 VA/DOD Clinical Practice Guideline (CPG) for the Management of Bipolar Disorder (BD). This paper reviews the 2023 CPG and its development process, including how recommendations were made for evidence-based treatment in BD. Subject experts and key stakeholders developed 20 key questions and reviewed the published literature after a systematic search using the PICOTS (population, intervention, comparator, outcomes, timing of outcomes measurement, and setting) method.
View Article and Find Full Text PDFGac Med Mex
January 2025
Consultoría independiente, Mexico City, Mexico.
Background: The underreporting of vital statistics poses a problem for the quality of information. To address underreporting, Mexico implemented the "Intentional Search for Children Deaths" in 2002.
Objective: To analyze trends in the underreporting of deaths in neonates and children under 5 years of age (U5) from 1992 to 2022 at the national level and by state.
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