A 5-star system for rating the quality of information based on DISCERN

Objective: To develop an explicit scheme for calculating a 5‐star quality rating for consumer health information, and to test if there is good agreement be tween this and the final DISCERN quality question. Design: A sample of 15 consumers and health professionals rated 26 health information leaflets covering a broad range of conditions and treatments using two new 5‐star‐rating schemes and the existing DISCERN final quality rating. Each scheme is based on the 15 DISCERN criteria, but the 5‐star schemes provide more explicit methods for summarizing overall quality. The level of agreement between the three different rating systems was compared using Kappa scores with quadratic weights. Participants were also asked to complete a brief questionnaire that was designed to elicit their views on using a visual summary of the quality of health information. Results: The level of agreement between each 5‐star‐rating system and the existing DISCERN quality rating question was high (kappa = 0.86, 95% CI 0.83–0.89 in both instances). Seventy‐seven per cent of the sample preferred the second star‐rating scheme, and 80% reported they would use such a scheme. Conclusion: Assigning a single quality score using an explicit scoring scheme (represented by stars) based on answers to the DISCERN questionnaire is a reliable and valid way of rating consumer health information.     

Classroom dialogue and digital technologies: A scoping review

This article presents a systematic scoping review of the literature focusing on interactions between classroom dialogue and digital technology. The first review of its type in this area, it both maps extant research and, through a process of thematic synthesis, investigates the role of technology in supporting classroom dialogue. In total, 72 studies (published 2000–2016) are analysed to establish the characteristics of existing evidence and to identify themes. The central intention is to enable researchers and others to access an extensive base of studies, thematically analysed, when developing insights and interpretations in a rapidly changing field of study. The discussion illustrates the interconnectedness of key themes, placing the studies in a methodological and theoretical context and examining challenges for the future.     

‘Evidence’ within local authority decision making

Michael Cook looks at the role of an embedded Public Health Information Specialist highlighting the ways the core evidence, information and knowledge skills are used to progress Public Health activity in local government settings. Acknowledging the current pandemic, he explores how COVID‐19 has dominated all aspects of health and social care, and outlines how evidence services have work within these complex Public Health systems to lead the local response and recovery efforts.     

Heat acclimation improves intermittent sprinting in the heat but additional pre-cooling offers no further ergogenic effect

The aim of this study was to determine the effect of 10 days of heat acclimation with and without pre-cooling on intermittent sprint exercise performance in the heat. Eight males completed three intermittent cycling sprint protocols before and after 10 days of heat acclimation. Before acclimation, one sprint protocol was conducted in control conditions (21.8 ± 2.2°C, 42.8 ± 6.7% relative humidity) and two sprint protocols in hot, humid conditions (33.3 ± 0.6°C, 52.2 ± 6.8% relative humidity) in a randomized order. One hot, humid condition was preceded by 20 min of thigh pre-cooling with ice packs (-16.2 ± 4.5°C). After heat acclimation, the two hot, humid sprint protocols were repeated. Before heat acclimation, peak power output declined in the heat (P < 0.05) but pre-cooling prevented this. Ten days of heat acclimation reduced resting rectal temperature from 37.8 ± 0.3°C to 37.4 ± 0.3°C (P < 0.01). When acclimated, peak power output increased by ～2% (P < 0.05, main effect) and no reductions in individual sprint peak power output were observed. Additional pre-cooling offered no further ergogenic effect. Unacclimated athletes competing in the heat should pre-cool to prevent reductions in peak power output, but heat acclimate for an increased peak power output.     

Visually focusing on the far versus the near target during the putting stroke

The purpose was to evaluate the traditional method, of visually focusing on the ball, in comparison to focusing on the hole, during the putting stroke. The study design consisted of a pretest, a 4-week practice period, and a posttest. Participants (n = 31, handicap: 18.7 ± 10.4) practised using only one of the two gaze techniques. Testing consisted of having all participants putt using both gaze techniques from both a 1.22 m and a 4 m distance. Five putts were executed for each gaze technique/putt length combination for a total of 20 putts in each testing session per participant. The kinematics of every putting stroke executed during testing (1240 strokes) were captured using a TOMI? system. There was a significant improvement in putting success for both groups following practice (P = 0.001). Practising while visually focusing on the hole, resulted in a statistically significant reduction in putter speed variability in comparison to practising while visually focusing on the ball (P = 0.017). Visually focusing on the hole did not meaningfully (nor statistically) affect the quality of impact as assessed by the variability in face angle, stroke path, and impact spot at the precise moment the putter head contacted the ball.     

Christopher Winch on the Representational Theory of Language and its Pedagogic Relevance

In his recent paper, Winch (1997) attacks a group of theories he calls cognitivism. These theories agree in holding that 'the ability to think, both consciously and subconsciously, amounts to an ability to internally manipulate symbolic representations of that which we think about (p.67).The relevance of this attack to education is that 'Cognitivism' supplies plausible-looking reasons for thinking that learning can take place without instruction, practice, memorisation or training and its prestige as a theory of learning devalues those activities within education.Its rejection should therefore lead us to re-examine our need for explicit teacher-oriented pedagogies' (p.78).Cognitivism has led to an emphasis on autonomous learning and a consequent devaluing of the role of overt teaching, 'the active transmission of knowledge and technique by an authoritative figure' (p.67).