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The growth of social media has encouraged the written use of African American Vernacular English (AAVE), which has traditionally been used only in oral contexts. However, NLP models have historically been developed using dominant English varieties, such as Standard American English (SAE), due to text corpora availability. We investigate the performance of GPT-2 on AAVE text by creating a dataset of intent-equivalent parallel AAVE/SAE tweet pairs, thereby isolating syntactic structure and AAVE-or SAE-specific language for each pair. We evaluate each sample and its GPT-2 generated text with pretrained sentiment classifiers and find that while AAVE text results in more classifications of negative sentiment than SAE, the use of GPT-2 generally increases occurrences of positive sentiment for both. Additionally, we conduct human evaluation of AAVE and SAE text generated with GPT-2 to compare contextual rigor and overall quality.

Using Skype™ to support young people with complex needs is an effective intervention to support continence care at home. Dedicated technical support during the initial set-up phase and on-going clinical mentorship are needed to ensure that telehealth is successfully embedded within health care practice.

This study was conducted to explore the relationship among retrospective reports of family-of-origin functioning, reported perceptions of a laboratory-based conflict resolution discussion, and outsiders' ratings of communication behaviors between young adult dating couples, with a special focus on predicted gender differences. Sixty-three couples aged 18 to 24 participated in this study. A Revealed Differences task was used to elicit discussion about an issue identified as discordant for the couple on a Relationship Issue Questionnaire. Family-of-origin variables were related to both men's and women's perceptions of the conflict, as well as outsiders' ratings of their conflict resolution behaviors. However, the conflict resolution behaviors and perceptions of men and women were associated with distinctly different aspects of functioning in their families of origin. Further, women's families-of-origin factors were more prominent for the couples' communication behaviors because they indicated a greater number of significant correlations between the women's families of origin and: 1) perceptions of the conflict resolution discussion by both the men and women, and 2) the observed conflict resolution behaviors of both men and women. These findings are discussed in the context of both the relevant research and important social-political influences.

Telehealth technologies harbour the premise of transforming care practices and delivering person centred care closer to home. The care at home project was set to explore remote support and care for children with palliative and complex care needs. Aim: To articulate clinicians' perspectives on and experiences of embedding telehealth to professional practice in different settings. Design: Descriptive qualitative evaluation using focus groups and semi structured interviews. Setting/participants: The study was conducted in four locations across Scotland and included staff from the National Health Service and a Third Sector organisation. Participants were mainly clinicians involved in the delivery of specialist paediatric palliative care and continence specialists. Results: Significant differences were found between the way telehealth was explored and used within the public and voluntary sectors. Clinicians see clear benefits in and potential risks of telehealth to their patients and own practice. Conclusion: A strong strategic steer towards a culture of innovation is needed to support effective use of telehealth. Senior managers in the NHS should facilitate and support staff and 'unleash' the good will of professionals who are eager to exploit innovation in clinical practice.

We explored the attitudes and responses of older people to telecare technologies. Questionnaires were given to subjects in three locations: two day hospitals in Tayside (a region of north-east Scotland); five units of sheltered housing run by West Lothian local authority (in central Scotland); and five schemes of a private housing association across Tayside. There were 199 returned questionnaires (a 42% response rate). The sample was divided into two groups according to whether the subjects did agree or did not agree with the statement 'I would welcome technology that helps me to stay in my home even if it means losing some of the freedom and control I currently have'. 'Tele-receptive' individuals (n=127) were found to be significantly more likely both to feel excited about new technology and to feel that their age was not a barrier to further learning. The present study suggests that individuals receptive to telecare will tend to be younger (under 80 years) and will be satisfied clients of current health services. They are likely to express a wish to stay at home for as long as possible, even when they would need a lot of help or have to pay for care. They are also keen to use an interactive mode of communication for both social interaction and medical consultation.

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Background and AimsLiterature on interventions that enable young people with spina bifida and/or hydrocephalus to have smooth transition, into adult healthcare services, stress the need for the process to start early and to include all family members. The study reported here was set to quantify and articulate the experiences of service users who are or due to be going through the transition process in Scotland today.Methods and ResultsFocus group sessions, in the North of Scotland and in the ‘Central Belt’, captured rich qualitative data. A survey, sent to eligible participants on the Spina Bifida National database, offered complimentary data source. Despite the fact that the number of returned questionnaires was low (n = 20), data analysis identified a number of core recurring themes. These include issues concerning Communications, Respect, Choice and Control. Findings suggest that there is a significant chasm between the political rhetoric and the reality faced by young people with spina bifida moving to adult healthcare services.ConclusionA possible way to facilitate successful transition of young people is using personal healthcare information as the locus for needed change. More research is needed to ascertain whether a ‘Person-Centred Record’, which is set to empower young people on their transition pathway, is an appropriate transition tool.