To see the other types of publications on this topic, follow the link: Community settings.
Dissertations / Theses on the topic 'Community settings'
Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles
Consult the top 50 dissertations / theses for your research on the topic 'Community settings.'
Next to every source in the list of references, there is an 'Add to bibliography' button. Press on it, and we will generate automatically the bibliographic reference to the chosen work in the citation style you need: APA, MLA, Harvard, Chicago, Vancouver, etc.
You can also download the full text of the academic publication as pdf and read online its abstract whenever available in the metadata.
Browse dissertations / theses on a wide variety of disciplines and organise your bibliography correctly.
1
Brown, Michael C. "Community voices : participatory communication for community development in Nepal's urban settings." Thesis, University of Derby, 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.298259.
Full text
2
Obst, Patricia. "Community connections:psychological sense of community and identification in geographical and relational settings." Queensland University of Technology, 2004. http://eprints.qut.edu.au/15971/.
Full textAbstract:
This thesis examines the construct of Psychological Sense of Community (PSOC). Within the discipline of community psychology, there is debate as to the dimensions underlying the construct PSOC. One of the few theoretically proposed structures is that put forward by McMillan and Chavis (1986), who hypothesized four dimensions: Belonging; Fulfilment of Needs; Influence; and Shared Connections underlying PSOC. Further, there is some deliberation in the literature as to the existence of PSOC in relational, as well as geographical, communities. Discussion has also emerged regarding the role of social identification within PSOC. It has been suggested that differences in PSOC may be understood in terms of the degree to which members identify with their community (Fisher & Sonn, 1999). However, few studies have explored the place of identification in PSOC. In addition, while PSOC has been applied to both relational and geographical communities, little research has looked in depth at PSOC within relational communities. Thus, the principle aims of the current program of research were to elucidate the underlying dimensions of PSOC and their consistency across geographical and relational communities. Further, the research also aimed to explore the role of identification in PSOC. The first stage of this research endeavoured to clarify the underlying dimensions of PSOC by utilising a questionnaire which included multiple measures of PSOC and social identification, administered to both relational and geographical community members. The first paper of the current research explored PSOC in a relational community, science fiction fandom (N = 359) and the third paper in a sample of residents of rural, regional and urban geographical communities (N = 669). In both the relational and geographical communities, support emerged for McMillan and Chavis' (1986) four dimensions of PSOC. In regards to identification, the Sense of Community iv affective and ingroups ties aspects of social identification were subsumed within the PSOC dimensions; however, the Conscious Identification aspect emerged as separate to the existing PSOC dimensions. The study presented in paper three also examined the role of demographic factors in predicting PSOC in geographical communities. The demographic factors significantly associated with PSOC were: type of region, with rural participants displaying higher PSOC than their urban counterparts; participation in local organizations; having children; and a vision of one's neighbourhood as broader than just a street or block. To date, little research has compared a single group's PSOC with a relational community to their PSOC with their geographical communities. The second paper presented in this manuscript explored PSOC with participants' relational and geographical communities in the sample of members of science fiction fandom (N = 359). All the PSOC dimensions and Conscious Identification emerged as significant predictors of overall sense of community in both community types. Participants reported higher levels of global PSOC with fandom than with their geographical communities, a pattern that also emerged across the four dimensions and Conscious Identification. It was proposed that the degree of choice of community membership may be one reason for this finding. However, stronger conclusions could not be drawn from this study as situational salience may have influenced the results as data was collected in the relational community context. The second phase of the current research aimed to validate the multidimensional nature and related measures of both social identification and PSOC. The fourth paper presented in this thesis examined the construct validity of the three-factor model of social identification as measured by the Three Dimensional Strength of Identification Scale proposed by Cameron (1999, 2004). The 12 item version of the scale was used to collect data from an undergraduate sample (N = 219) to assess their social identification across three distinct group memberships (sex, student and interest group). This data was subjected to confirmatory factor analysis to examine the fit of the three-factor model of social identity in comparison to fit indices for one and two-factor models. The results indicate that the three-factor model was the most parsimonious and best fit to the data across all groups. In addition, the fact that different patterns of means and correlations emerged across groups on the three dimensions provided further evidence for a multidimensional model of social identification and, moreover, the greater depth of exploration it allows. The fifth paper examines The Sense of Community Index (SCI), one of the most commonly used measures of PSOC. There is much discussion in the literature as to the validity of the scale as a measure not only of overall PSOC, but of the dimensions (Membership, Influence, Needs fulfillment and Emotional Connection) theorized by McMillan and Chavis (1986) to underlie the construct. This paper examines the factor structure of the Sense of Community Index in a study (N = 219)that examined neighborhood, student and interest group communities. The results showed that the Sense of Community Index, in terms of its original factor structure, did not adequately fit the data. The scale was revised, utilizing confirmatory factor analysis indicators, to produce a new four-factor structure based on the original items. This revised model was tested and found to display adequate fit indices to the data in all three community types. The results of the study provide empirical support for retaining measures that encapsulate the four dimensions of PSOC.The sixth paper further explores the interplay between PSOC and the dimensions of social identification. In particular, the study (N = 219) examines the relative strength of the separate aspects of social identification (based on Cameron's 2004, Three Factor Model of Social Identification) as predictors of overall PSOC, accounting for situational salience. Results indicate that Ingroup Ties is consistently the strongest predictor of PSOC and that the strength of Ingroup Affect and Centrality alter according to the group or community context. The seventh and final paper from the current research program emerged from the results of paper two indicating that choice may influence individuals' social identification and PSOC with their respective communities. The study presented in this paper examined participants' (N = 219) level of social identification and PSOC across multiple group memberships that differ in the degree of choice associated with membership (low choice: neighborhood community; medium choice: student community; and high choice: self chosen interest group). Results indicated that, controlling for contextual salience, choice was positively associated with levels of social identification and PSOC. Overall, the current program of research provides some important findings which add significantly to the theoretical understanding of PSOC in today's society. The research provides clarification of both the dimensions underlying PSOC, their application to both geographical and relational communities and the measurement of overall PSOC and these dimensions. Further, it provides empirical evidence of the importance of the Centrality aspect of identification in PSOC in both geographical and relational settings. The theoretical and practical implications of the findings of the overall program of research are discussed.
3
Amenyah, Augustine M. "Asthma Prevalence: Focus on Prevention Management in Community Settings." Digital Archive @ GSU, 2011. http://digitalarchive.gsu.edu/iph_theses/203.
Full textAbstract:
Asthma prevalence continues to increase across the United States of America, affecting more than 43.1 million people and projected to affect over 50 million people by 2025. Asthma prevalence differs by demographic characteristics, such as race, ethnicity, socio-economic status, education, age and gender. Poor quality of life is common among people who suffer from asthma, in addition to school and work absenteeism. In 2008, children 5-17 years old with at least one reported asthma attack missed 10.5 million school days in the past year (CDC, 2010). Healthcare use for asthma is high and disparities remain in asthma healthcare use and reimbursement. In community settings, reimbursement for asthma education and prevention has been problematic due to current reimbursement mechanisms (Bodenheimer et al. (2003); Halterman (2010); CDC (2011) and Laster et al. 2010) that do not go far enough in assisting low-income communities manage their asthma medically nor have uniform standards for billable services associated with asthma management provided by both healthcare professionals and public health workers. A change in reimbursement policy is advocated and the evidence for the effectiveness of community health workers in asthma management is examined.
4
Galvin, John. "Partnership pedagogies : family-school-community educational partnerships in disadvantaged settings." Thesis, University of Sheffield, 2009. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.521989.
Full text
5
Nelson, Gaius Grant. "Service settings for an aging society : a community ordering principle." Thesis, Massachusetts Institute of Technology, 1987. http://hdl.handle.net/1721.1/76408.
Full textAbstract:
Thesis (M.S.)--Massachusetts Institute of Technology, Dept. of Urban Studies and Planning, 1987.<br>Includes bibliographical references (leaves 84-86).<br>Current facility models used in the design of housing and service settings for older people encourage the development of urban, large scale, age-segregated institutional environments. Research has either unwittingly or not, encouraged and perpetuated these models by stressing the need for congruence between person and dwelling environment. Such research has encouraged the movement of individuals to alternative living environments when age related changes in social, economic or health status reduce this level of congruence between person and environment based on key factors which are deemed important by gerontological researchers. Homeownership by older people is a behavior which is increasing. This is a trend which is not likely to reverse in the future. Approximately 75% of all people over the age of 65 choose to remain in their own owned single-family residential settings. It is estimated that by the year 1995 over 80% of all older people will live in their own homes, yet research of alternative models for service delivery to support these actions is sorely lacking. The key to providing services to an increasing number of older people in our society will not be through the production of alternative housing situations. What is needed is the provision of service setting s which assist these people in the maintenance of their lives within their chosen and preferred living situation. The research undertaken in this paper will investigate the development of alternative neighborhood based service settings designed to meet this growing need. The proposed model will integrate these service settings into residential areas using the neighborhood as an urban design framework. A case study will examine the usefulness of the neighborhood concept in the planning and delivery of services to older populations within a suburban community.<br>by Gaius Grant Nelson.<br>M.S.
6
Morelen, Diana. "Relational Health Assessment and Interventions in Integrated Community-based Settings." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/etsu-works/7710.
Full text
7
Lim, Kyung Hee. "Collaboration between Disciplinary Teams Caring for Elders in Korean Community Settings." Diss., The University of Arizona, 2008. http://hdl.handle.net/10150/193837.
Full textAbstract:
The purpose of this study was to test a hypothesized collaboration model composed of four components: team member, context, collaboration process, and degree of collaboration. A descriptive design using a causal modeling approach was used to test the collaboration model. The research settings were the healthcare centers and welfare centers in five provinces of Korea. The sample consisted of 40 nurse teams and 40 social worker teams. Data were collected from each team member and leaders involved in the Korean Home Visiting Services. Psychometric properties of all measures were assessed at both individual and team levels. Psychometric properties of all but one subscale (Agreement of Disciplinary Logic) exhibited reliability and evidence of validity as team measures. First hypothesis, team member and context variables have a direct effect on the collaboration process, was rejected. However, some team member variables directly impacted the collaboration process. Second hypothesis, team member, context, and collaboration process variables have a direct effect on the degree of collaboration, was rejected. However, some team member, context, and collaboration process variables directly impacted the degree of collaboration. Based on the research findings, the hypothesized collaboration model was revised.This study presented some implications for further research and collaboration practice. Future research needs to determine the reciprocal influence of each construct variable, explore the roles of each leadership style, and identify intervening or extraneous variables affecting collaboration. For the collaboration practice, this research can help healthcare providers develop realistic and effective strategies to enhance their collaboration, which would lead them to not only assess the elderly holistically, but to also effectively plan and provide comprehensive care services to solve complex health problems of the elderly. Thus, the elderly can maintain and improve their health and well-being. There were some study limitations related to the methodology and study findings. Sample size and a convenient sampling and a lack of random selection and diversity of the sample prevented generalization of study findings. A small number of context variables may have been insufficient to investigate the impact of context on collaboration, and potential model and variable misspecification and/or measurement errors may have occurred.
8
Ellingsberg, Carol E. "CCTV use by visually impaired seniors living independently in community settings." Online version, 2002. http://www.uwstout.edu/lib/thesis/2002/2002ellingsbergc.pdf.
Full text
9
Weigelt, Jennifer. "Supervisory Working Alliance and Job Satisfaction in Community Mental Health Settings." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/1526.
Full textAbstract:
Researchers have written extensively on many facets of supervision in the counseling profession, including the supervisee benefits associated with a strong supervisory working alliance. While the majority of studies have focused on the working alliance in academic settings with student trainees, there has been a lack of research exploring the role of the supervisory working alliance in workplace settings, where supervision can be different from supervision offered in a university clinic or counseling center. Employee job dissatisfaction has been a problem identified within the mental health workforce. Researchers have identified effective supervision as a mediating factor. The purpose of this study was to evaluate the relationship between the theoretical construct of the supervisory working alliance and job satisfaction. This multiple regression study included 250 workers who were providing direct services to persons with severe mental illness or severe emotional and behavioral disorders. Results yielded a significant relationship between the supervisees' perception of the supervisory working alliance, as measured by the Supervisory Working Alliance Inventory, and job satisfaction, as measured by the Job Satisfaction Survey. Specifically, participants who rated the supervisory working alliance higher were also more likely to report higher levels of job satisfaction. The implications for social change include knowledge useful for educators, trainers, supervisors, and supervisees seeking to promote positive outcomes of workers and clients in community mental health settings. Low job satisfaction leads to generally poorer client outcomes. The ability to understand the supervisory working alliance's influence on job satisfaction is beneficial to advancing the treatment for persons with chronic mental illness.
10
Mpofu, Jabulani. "Psychological wellbeing of adolescents with physical disabilities in inclusive community settings." Thesis, University of Pretoria, 2016. http://hdl.handle.net/2263/60967.
Full textAbstract:
The purpose of this study was to explore the psychological wellbeing of adolescents with physical disabilities living in inclusive community settings in Zimbabwe. An inclusive community is one that aims to remove exclusionary practice within the community and promote community's systems that accept all people, regardless of their differences. A constructivist lived experience perspective underpinned this research, in which the researcher used multiple case studies to interact with the participants about their inclusion and psychological wellbeing as adolescents with physical disabilities. The 14 participants (nine males and five females) were purposively sampled. Data was collected through face-to-face interviews.
Four themes emerged from the inductive thematic analysis of data sources. It was found that participants in this study were involved in various inclusive community activities available within their communities. The study also found that parent, the government, the community and donor communities were working together towards improving the lives of adolescents with physical disabilities in the communities in which they live. These stakeholders assumed different roles, such as providing disability awareness education, vocational counselling, and inclusive infrastructure and resources. The study also found that the participants encountered environmental restrictions in choosing inclusion activities in which to participate in their communities.
The findings of this study have the potential to help the policy makers and researchers in inclusive communities to better understand the needs of adolescents with physical disabilities living in these communities. Furthermore, the current research has the potential to guide future research and develop future initiatives to improve the psychological wellbeing of adolescents with physical disabilities, thus improving their outcomes and quality of life.<br>Thesis (PhD)--University of Pretoria, 2016.<br>Educational Psychology<br>PhD<br>Unrestricted
11
Jackson, Taylor William. "Is It Enough? Challenges Generalizing Social Skills Gains into Community Settings." BYU ScholarsArchive, 2019. https://scholarsarchive.byu.edu/etd/8565.
Full textAbstract:
Group social skills training (GSST) is an important intervention approach to help children and adolescents with autism spectrum disorder (ASD) to find more success in social engagement and inclusion. However, there is a lack of research using direct behavioral observations, especially in generalization of acquired skills to settings other than the treatment setting. We provided social skills training to 25 adolescents with ASD using a curriculum shown to have positive effects (the UCLA PEERS® curriculum). We also administered the Autism Social Skills Profile (ASSP) and Social Communication Questionnaire – Current (SCQ-Current) to the parents of participants before and after the GSST to ensure it had the intended effect, which showed minor improvements in some areas of social engagement, though not statistically significant. We then provided seven participants and their peers in their community groups with a brief intervention that taught principles of including those with disabilities. We analyzed each of these seven participants’ level of social engagement in their community groups before and after the intervention using a multiple baseline design. Peer inclusion instruction produced mixed results across participants. We discuss the feasibility and future directions for the generalization of acquired social skills.
12
Lefebvre, Diana Barbara. "Client Perspectives of Psychotherapy for Eating Disorders in Community Practice Settings." Thesis, Université d'Ottawa / University of Ottawa, 2015. http://hdl.handle.net/10393/34130.
Full textAbstract:
This qualitative study explores client experiences to further understand psychotherapy for the treatment of eating disorders in community practice settings. Eight participants shared their experiences of individual psychotherapy, where eating disorders were the primary focus, during minimally-structured and open-ended interviews. Data were analyzed using interpretive phenomenological analysis. Analysis resulted in 20 themes representing what participants described as meaningful in their experience of therapy. These themes are organized in five broader thematic categories: Goals and Expectations of Therapy, Therapist Way of Being, Session Process, Eating Disorder Specific Interventions, and Non-Eating Disorder Specific Interventions. Each thematic category and theme is described in detail, including verbatim quotes from participant accounts, and depicting points of agreement or divergence among participant experiences. The constructivist orientation, principles of hermeneutic phenomenology, and helpful factors design forefront participant perspectives and allow for elucidation of nuances in which therapy and therapeutic interventions unfold. The findings reinforce and expand upon scholarly literature, including ways that participants find it helpful when therapists consider the client’s context, but also value direction provided by therapists who have eating disorder expertise. Implications of the study for research, practice, and training are discussed.
13
Morales, Monica R. "Defining Community-Based Art Therapy: How Art Therapy in School Settings is Facilitating Community-Based Art Therapy." Digital Commons at Loyola Marymount University and Loyola Law School, 2018. https://digitalcommons.lmu.edu/etd/497.
Full textAbstract:
This research explores the overlap between community-based art therapy and school-based art therapy through the surveyed experiences of art therapists working in school settings, and informed by community-based art therapy components and characteristics identified in A Model for Art Therapists in Community Practice by Dylan Ottemiller and Yasmine Awais. A literature review focused on five components and characteristics identified within the community-based art therapy literature, and informed the review of school-based art therapy literature based on the community-based art therapy themes. A qualitative survey approach was utilized through the distribution and data analysis of an electronic survey and findings were enriched by the researcher’s participation in the development and implementation of a brief community-based art therapy program providing an art therapy experience to families receiving services at a domestic violence intervention center. Analysis of the data revealed three major themes and specific areas where school-based practice is facilitating community-based art therapy (CBAT) components and characteristics. The findings discuss which CBAT components and characteristics are and are not being facilitated within school-based practice, and in conclusion the research offers ways school-based art therapy programs may offer opportunities for community-based practice.
14
Beulke, Joshua Thomas. "The Effectiveness of Psychotherapy for Schizophrenia Spectrum Disorders in Community Residential Settings." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2521.
Full textAbstract:
The purpose of this research was to analyze the effectiveness of psychotherapy for individuals diagnosed with schizophrenia spectrum disorders who reside in community residential settings. The present body of literature did not address the utility of psychotherapy treatment for this population. A key area of focus for this research was whether psychotherapy has an impact on psychiatric hospitalization rates for the target population. An additional research question was whether significant differences exist in psychiatric hospitalization rates between males and females for the target population. Data analyses were conducted using archival data from the Blossom Hill Corporation and Sunrise Farm Corporation in the State of Minnesota. Research questions were analyzed with a 2x2 factorial analysis of variance (ANOVA). Results indicated no significant differences in hospitalization rates for individuals in the target population who received psychotherapy (n = 60) compared to those who did not (n = 76). Hospitalization rates also did not differ between gender in psychotherapy treatment response for individuals diagnosed with schizophrenia spectrum disorders in community residential settings. This study has implications for social change because it informs community residential providers in Minnesota serving individuals in the target population about the impact of psychotherapy on reducing psychiatric hospitalizations. Social change is further affected by providing data about how psychotherapy and theory can be used to better treat and understand the target population's mental health stability.
15
Vu, Chi Connie. "CROs as activity settings: The impact of peer support and setting resource characteristics on member participation and sense of community." Diss., Wichita State University, 2014. http://hdl.handle.net/10057/10943.
Full textAbstract:
Community-based mental health services such as consumer-run organizations (CROs) have been shown to yield positive community integration outcomes for individuals who actively participate in these services. However, CROs have been historically underutilized despite having a growing evidence base that supports the financial and programmatic effectiveness of these consumer-driven services. Little is known about the organizational, social, and psychological factors that help engage mental health consumers in these organizations.
The current study used the activity setting framework to conduct a comprehensive analysis of the organizational resources and peer support processes that impact members' sense of community and organizational participation in CROs. Interviews, setting observations, and survey methods were used to collect data on 16 CROs located across the state. Descriptive, correlational, and stepwise regression analyses were conducted to identify key characteristics that positively impact member outcomes.
The activity setting framework provided a comprehensive lens for which to assess CROs. Results showed that organizational climate had the strongest impact on sense of community, while member characteristics (e.g., length of CRO membership and frequency of attendance) had stronger influences on organizational participation. CRO responsiveness was also a predictor of both sense of community and organizational participation. Suggestions are provided to help improve CRO practices and maximize member benefits from participation in these organizations.<br>Thesis (Ph.D.)-- Wichita State University, Fairmount College of Liberal Arts and Sciences, Dept. of Psychology
16
Randall, S. "An exploration of embedding the community matron role in three settings : making the invisible visible?" Thesis, Coventry University, 2014. http://curve.coventry.ac.uk/open/items/84ea4207-f834-49ef-a041-9d8d5391bda8/1.
Full textAbstract:
Background: The role of community matron (CM) was introduced to provide a single point of access to patients living with co-morbid long-term conditions who had, or were at risk of, frequent emergency admissions to hospital. CMs utilised case management as a means of managing this growing population of patients with fragile health. Since its inception, many changes in service delivery have impacted on the role. Aim: The aim was to undertake a mixed methodology study of the factors that have affected embedding of the community matron role in 3 geographical areas. Methodology: A pragmatic mixed methods approach (QUAL quan) was utilised. Settings and participants: The studies were based in health services within 2 cities and a rural area in central England. Participants for the qualitative components of the study were purposefully sampled. The sample comprised professionals: community matrons (n=21), managers (n=4), former commissioners (n=2) and GPs (n=3); and patients (n=10) and their family carers (n=5). Quantitative data for 212 people with long-term conditions were derived from the anonymised Patients at Risk of Rehospitalisation database (PARR data) held by area 1. Methods: Qualitative data were collected from participants using semi-structured interviews and audio diaries. For the quantitative component using PARR, some patient journeys within area 1 were explored. In addition, a sample of patients who were case managed by a CM (n=106) were matched with a set of patients who were not (n=106) and the data was examined. Findings: Participants were largely positive about the role of CM. However, difficulties with role setup had led to numerous changes which affected how the role has embedded. Additionally, this impacted understanding of the role by health care professionals, and caused practical and emotional difficulties for some CMs as they perceived the role to be eroded. The quantitative findings showed that CMs did not make a significant difference to hospital bed days used by patients on their caseload. Evaluating the role and finding an effective means of showing the work undertaken by CMs, which is often invisible, proved difficult. Conclusion: Embedding of the CM role has been affected by numerous changes in service delivery. Invisibility of community nursing rather than autonomy of the community matron role seems to be a key factor in the challenges of embedding the role. The significance of these findings is that using a mixed method approach and Liaschenko and Fisher’s adapted model may help CMs to improve the visibility of their role, and so helping the role to be less prone to the challenges of service redesign.
17
Larivière, Nadine. "Adjustment to community residential settings among severely and chronically mentally ill older adults." Thesis, McGill University, 2001. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=31253.
Full textAbstract:
Little is known about the impact of deinstitutionalization on severely and chronically mentally ill older adults. The primary purpose of this study was to describe the adjustment process of 33 adults, aged 65 years and over, with severe and chronic psychiatric disorders, who were transferred from a psychiatric hospital to community housing facilities between 1995 and 1998. Data was collected at five periods in times, twice prior to discharge and three times following relocation. Global functioning, social behaviors, functioning in activities of daily living, cognitive status, perceived quality of life, housing conditions and rehospitalizations rates were assessed. Results showed that participants remained stable over time in general functioning, regardless of baseline functioning. Only five subjects were readmitted for short hospitalizations. Eighty-nine percent preferred to live in the community. Relocating these participants to a smaller supervised community facility did not lead to significant deterioration in their functioning and improved their quality of life.
18
Vitztum-Komanecki, Joann Marie. "Community integration and inclusion developmental outcomes for preschoolers with disabilities in inclusive settings /." [Bloomington, Ind.] : Indiana University, 2007. http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:3274267.
Full textAbstract:
Thesis (Ph.D.)--Indiana University, Dept. of Counseling and Educational Psychology, 2007.<br>Source: Dissertation Abstracts International, Volume: 68-07, Section: A, page: 2802. Adviser: Jack Cummings. Title from dissertation home page (viewed April 8, 2008).
19
Hagemeier, Nicholas E. "Let’s Talk About It: Communication Research in Pharmacy and Primary Care Settings." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/5419.
Full textAbstract:
This session will describe research approaches that have led to innovations in pharmacy practice. Specifically, the program will identify effective strategies to assess the impact of academic partnerships on advancing practicebased research at professional practice sites. This session will utilize a roundtable format to foster discussion and engagement among participants.
20
Jull, Stephanie. "Staff training for community swimming instructors : supporting children with autism in local recreation settings." Thesis, University of British Columbia, 2012. http://hdl.handle.net/2429/42923.
Full textAbstract:
Previous research indicates that children with autism spectrum disorders (ASD) participate in lower levels of physical activity in general and community-based recreation activities in particular than their typically-developing peers (Lang et al., 2010; King et al., 2003). Swimming is a particularly valuable activity because of its health, safety, and social benefits (Rogers, Hemmeter & Wolery, 2003). To date, no research has examined the effectiveness of a training approach designed to teach swimming instructors in community-based recreation settings to support children with ASD in swim lessons. Using a quasi-experimental time series design, his study examined the impact of training package that consisted of a workshop and in-pool coaching on the instructional skill acquisition of six swim instructors. Effects of the training on child cooperation and skill acquisition were also examined across eight children with ASD. Results indicated gains for the majority of instructors and children immediately following completion of the training. In addition, social validity ratings by parents, instructor, and aquatics coordinators were uniformly high. The results and limitation of the study was discussed with reference to the behavioral literature on instruction and generalization, with implications for future research. This study provides preliminary support for the effectiveness of a simple instructional package for teaching recreation staff to teach swimming to children with autism in community pools.
21
Ameen, Farooq. "Social and spatial implications of community-based residential environments on crime in urban settings." Diss., Georgia Institute of Technology, 1999. http://hdl.handle.net/1853/23210.
Full text
22
Shakespeare, Clare Louise. "Community interpreters speaking for themselves : the psychological impact of working in mental health settings." Thesis, University of Hertfordshire, 2012. http://hdl.handle.net/2299/9156.
Full textAbstract:
Background: Community interpreters are employed to work across multiple settings in the UK, including mental health services, to support individuals whose first language is not English. To date, little research attention has been paid to the emotional impact of mental health interpreting on community interpreters. Aims: The aim of this study is to develop an in-depth understanding of the emotional challenges of mental health interpreting and the coping strategies employed by community interpreters to overcome these challenges. It is hoped that this research will raise practitioners’ awareness and help guide health services to support interpreters better, to enable the highest standards of care for clients. Methodology: Semi-structured interviews were conducted with eight community interpreters working in mental health settings. The interview transcripts were analysed using Interpretative Phenomenological Analysis (IPA). Results: Four master themes emerged from analysis: ‘Feeling for the client’, ‘Relationships in Context’, ‘Balancing the personal self and the professional self’ and ‘You need to protect yourself’. These master themes, along with the subthemes contributing to them, are expanded in to a narrative account of interpreters’ experiences. Conclusions: This study has underscored the need for increased provision of support for interpreters, as well as training for practitioners in working with interpreters. Guidance for improved working relationships between interpreters, practitioners and employing agencies is given.
23
Vaccaro, L. "Local community support programmes in Chile : primary education : learning workshops in urban slum settings." Thesis, Swansea University, 1991. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.639292.
Full textAbstract:
Non-formal Adult Education (Popular Education or Community-Based Education) in Latin America and in Chile has been developed throughout different types of educational interventions. The aims of those programmes are related to the living conditions of the poor. One of the them are the Learning Workshops which intends to put into practice an educational strategy for overcoming the school failure of children from popular sectors with the help of community educators. The educators of young people who live in the neighbourhood and participate without receiving remuneration. After ten years the achievements of the programme are analysed. The central concern of this research is to identify which factors in a non-formal programme such as the Learning Workshops are crucial to its success and which have been its obstacles. Likewise, it wishes to consider what might be called emerging factors of those that have generated effects unforeseen in the initial proposal. In order to deal with the above problem three main areas of action of the programme have been identified. The children who have been helped to overcome their school failure. The community-based educators who work with the groups of children and deal with other problems within their communities; and specifically, the training process involved. The management of the programme by local community. This thesis uses a qualitative case-study design aimed at ex-post-factum identification of factors affecting the development of the Learning Workshops. A theoretical analysis is made regarding the programme and its possible improvement. Also beyond this immediate usefulness for the programme as it exists, the answer to the research questions could throw light on the possibilities for extending the programme to other locations with similar characteristics. The study encompasses a specific period of development of the Learning Workshops between 1978 and 1986 in four geographical locations of Chile: Paipote in the northern part of Chile, Cerro Los Placeres in the city of Valpara= iso, Pudahuel in the city of Santiago located in the Area Metropolitan (Metropolitan Area), and Curanilahue around the southern city of Concepció.
24
DeLorge, Minges Corrie. "An Exploration of Counseling Practicum Students' Experiences in Department-Based and Community-Based Settings." ScholarWorks@UNO, 2012. http://scholarworks.uno.edu/td/1545.
Full textAbstract:
Counselor educators are continually improving the quality of their training programs. The purpose of the present study was to investigate counseling students’ practicum experiences and development in community-based and department-based settings. The framework for this study was based on Stoltenberg’s integrated developmental model, which describes stages of counselor development and supervision conditions needed for a learning environment (Stoltenberg & Delworth, 1987; Stoltenberg & McNeill, 2010; Stoltenberg, McNeill, & Delworth, 1998)
A nation-wide study was conducted utilizing counselor education practicum students enrolled in programs listed in the CACREP program directory (2008) and Counselor Preparation: Programs, Faculty, Trends (12th ed.; Schweiger, Henderson, Clawson, Collins, & Nuckolls, 2008), and subscribed to three listserves COUNSGRAD, CESNET, and COUNSLINK. A total of 435 responses were collected electronically with a completion rate of 70% (N = 305). The Demographic and Experience Questionnaire and the Supervision Level Questionnaire Revised (SLQ-R) were used.
The results of this study indicated that practicum students’ experiences differed in community-based versus department-based settings. Students in department-based settings reported their settings were more structured than did students in community-based settings. Students who rated their settings as more structured also reported they were more satisfied with the amount of structure. Direct supervision modalities were utilized more often in department-based settings than in community-based settings. Students in community-based settings were supervised by licensed professional counselors, licensed professional counselor – supervisors, and licensed clinical social workers. Students in department-based settings were supervised by counseling professors, licensed professional counselors, licensed professional counselor – supervisors, and counseling doctoral students. Despite the differences in structure, supervision modalities, and supervisors, practicum students reported similar experiences in client population types and client issues.
Additionally, no differences were found in counseling practicum students’ SLQ-R scores in community-based versus department-based settings, and no differences in students’ SLQ-R scores were found in direct supervision in comparison to indirect supervision. The number of supervision modalities used in practicum settings was not related to students’ SLQ-R scores. Significant relationships were found in two of the sub-scales on the SLQ-R: self and others awareness and autonomy with practicum students’ number of credit hours completed.
25
Metcalfe, Jacqueline. "A lonely endeavour : clinical nurse leadership and the older unpopular patient in community settings." Thesis, University of Portsmouth, 2014. https://researchportal.port.ac.uk/portal/en/theses/a-lonely-endeavour(e820e992-2c34-44a0-9ae8-9b3182a9e442).html.
Full textAbstract:
Rationale for the Study: High quality care is high on the national agenda together with the centrality of clinical nurse leadership to achieve this The issue of the unpopular patient in nursing, as someone nurses do not enjoy caring for, is important, because when it occurs, the prejudice negatively impacts the quality of nursing care. Yet the concept of the unpopular patient has been rarely studied, and the specific experience of clinical nurse leaders, who are said to set the climate and tone of the care setting, has not previously been explored. Aim of the study: To explore the lived experience of clinical nurse leaders leading a team caring for an older patient perceived as unpopular in community nursing settings. Methodology/Methods: A Heideggerian hermeneutic approach was taken. Data was gathered using in-depth semi-structured audio recorded interviews with eleven female clinical nurse leaders. Findings: Five themes which contributed to the whole interpretation; “Knowing the Unpopular Patient”, ”Being Faithful”, ”Betwixt and Between”, ”Joined at the Hip” and ”Growing into Leadership”. The visible meanings of the experience included moral distress and moral courage, and the hidden meaning was the loneliness the clinical nurse leaders seemed to experience when trying to prevent, or address, the development of the older unpopular patient. Implications for practice and research; NHS organisations need to be aware that clinical nurse leaders may feel distressed and lonely as a result of trying to create a culture of quality care and dignity in difficult circumstances. Original contribution to knowledge: The unpopular patient also exists in community nursing settings, and importantly, clinical nurse leaders can experience moral distress and loneliness in response to the attitudes and behaviours of their staff team as the 'wounds of clinical nurse leadership'.
26
Shepherd, Andrew. "Personal recovery in personality disorder : seeking to understand experiences in community and forensic settings." Thesis, University of Manchester, 2016. https://www.research.manchester.ac.uk/portal/en/theses/personal-recovery-in-personality-disorder--seeking-to-understand-experiences-in-community-and-forensic-settings(1340a6a1-b364-484b-b7e9-70d75c88d107).html.
Full textAbstract:
Supporting an individual with experience of mental disorder in their personal recovery is now a stated goal for most mental health services. The meaning of ‘recovery’, as well as its distinction from traditional concepts of ‘clinical recovery’ or ‘cure’, remains unclear however. In the following thesis a variety of methodological approaches are used to explore the lived experience of those receiving a personality disorder diagnosis and accessing care in a variety of institutional settings. Specifically, systematic review and meta-synthesis are used by way of literature sensitisation. Individual interviews and focus groups are used to capture the experience of service users and clinical professionals respectively. Thematic analysis is used to explore findings and to identify overarching themes that encapsulate the essence of the recovery process. Emergent themes suggest that the process of recovery may be considered a form of ‘identity work’, wherein the experience of mental distress is adopted into the individual’s understanding of themselves as a moral agent functioning within various social networks. Findings from the individual interviews, together with the reflections of clinical staff, indicate the particularity of this work in the context of personality disorder and forensic institutions - with diagnostic stigma especially seen as impacting on the process. A model of personal recovery is proposed in light of the findings from the thesis and this is situated in terms of the wider clinical literature. This model highlights the development of personal recovery as a response to varying forms of trauma, and the incorporation of such work into central understandings of personal identity. Findings from the thesis are used to develop proposals as to the manner in which future research could be conducted to allow the adoption of recovery oriented care in day-to-day mental health clinical practice.
27
Yasar, Mustafa. "An ethnographic case study of educational drama in teacher education settings resistance, community, and power /." Columbus, Ohio : Ohio State University, 2006. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1149082511.
Full text
28
Cockshell, Susan. "Factors effecting the maintenance of people with a psychiatric disability in hospital and community settings /." Title page, contents and abstract only, 1996. http://web4.library.adelaide.edu.au/theses/09SPS/09spsc666.pdf.
Full text
29
Westhorp, Gillian. "Development of realist evaluation models and methods for use in small-scale community based settings." Thesis, Nottingham Trent University, 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.493092.
Full textAbstract:
Evaluation in small community-based (SCB) services is often hampered by inadequate outcomes data and inadequate resources to collect it. However, there are many such services, with the potential to do both good and harm to their clients. Improved evaluation methods are therefore desirable.
30
Flood, Chris. "Measures of therapeutic change in acute and community settings using clinical outcome and cost measuremeut." Thesis, City University London, 2011. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.603451.
Full textAbstract:
This PhD-by-publication thesis describes a journey of developing research and different approaches used for measuring therapeutic change. The focus of this thesis is to investigate what psychological and economic measures can be used to measure clinical outcomes and cost measurement. At every stage consideration has been given to capturing costs and cost effectiveness where possible. The research, considered as a group of papers, focuses on quality of life, outcome measurement, utility measurement, health economics, randomised controlled trials and spans a number of different clinical domains including mental health, nursing, social work and occupational therapy.
31
Samuel, Judith C. "An evalution of intensive interaction in community living settings for adults with profound learning disability." n.p, 2003. http://ethos.bl.uk/.
Full text
32
Mandeville, Tristan. "Communicating Sensitive Topics in Polarized Settings: Gauging Environmental Attitudes and Actions among Conservative Community Leaders." Ohio University / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1618590096985418.
Full text
33
Michael, Brett C. "Attrition in Behavioral Parent Training Programs in Clinical and Community Settings: A Meta-analytic Review." UNF Digital Commons, 2018. https://digitalcommons.unf.edu/etd/780.
Full textAbstract:
Abstract
It is estimated that approximately 16-20% of youth will develop a diagnosable behavior disorder. Behavioral parent training is a valuable approach to address disruptive behaviors by teaching parents how to effectively manage their child’s challenging behavior with non-physical disciplinary techniques. While these programs are generally effective, attrition rates have been found to be as high as 60% in some cases. This review provides information about the characteristics commonly associated with these programs, the attrition rates of each program, and the general effectiveness of the programs. Meta-analytic procedures were implemented to identify contributing factors leading to withdrawal from intervention.
Keywords: parent training, behavioral parent training, parent management training, parent child interaction therapy
34
Samuel, Judith C. "An evaluation of intensive interaction in community living settings for adults with profound learning disability." Thesis, Open University, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.402618.
Full text
35
Quinn, Tara M. "Assessment of Personality Disorder In Learning Disabilities : An Exploration of Psychologists' Experiences in Community Settings." Thesis, University of Essex, 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.486498.
Full textAbstract:
Rationale: Compared to other psychiatric diagnoses, limited research has been conducted regarding the assessment of personality disorders in adults with learning disabilities living within community settings. There is growing concern that clinicians are hesitant to diagnose personality disorders in adults with a learning disability, even though many clients may meet the criteria for diagnosis (Naik et al 2002, Wilson 2001). No previous research has explored the experiences of clinicians with regard to assessment. Main aims: The current study aimed to explore the experiences of psychologists with regard to the assessment of personality disorder in adults with a learning disability living within community settings. To date, no qualitative research has been conducted looking at the individual experiences of psychologists when working with this client group.
36
Lotkowski, Veronica A. "The construction of community in two ethno-culturally diverse educational settings, one Catholic and one public." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape3/PQDD_0028/NQ50017.pdf.
Full text
37
Molholt, Stephanie Anne Leu 1972. "A place to call home: Examining the role of American Indian community centers in urban settings." Thesis, The University of Arizona, 1996. http://hdl.handle.net/10150/291416.
Full textAbstract:
Assimilation has long been the driving force behind the federal government's policies relating to American Indians. The termination and relocation policies of the 1950s and 1960s exemplify government actions in this area. As a direct result of these two policies there was an influx of American Indians into urban areas. Abandoned by the federal government and facing competition from other minority groups for state services, American Indians began to develop their own service organizations. Urban Indian community centers, many pan-Indian by necessity due to the numerous tribes present in each urban community, were some of the first organizations created. These organizations provided services, support, and a cultural haven. This thesis reviews the history of these policies and their impact on American Indians and concludes with an analysis of research done at the American Indian Community House, New York City, which examines the contemporary role of community centers in urban areas.
38
Wong, Wing-yu Valerie, and 王詠瑜. "Efficacy of hand hygiene to reduce transmission of the influenza virusin community settings: a meta-analysis." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2012. http://hub.hku.hk/bib/B48426398.
Full textAbstract:
BACKGROUND
Influenza is a potential threat to life, economies and security in our globalized world. However, it is still unclear how efficacious non-pharmaceutical interventions are in reducing the virus’ transmission and how the underlying mechanisms of its transmission modes work. Since 2008, numbers of randomized controlled trials (RCTs) regarding the efficacy of hand hygiene interventions in reducing influenza transmission have been published, yet no metaanalysis has ever been performed. Besides, a guinea pig model in 2009 showed that the efficiency of aerosol transmission is adjusted by the ambient temperature and humidity. Therefore, further evidence is needed to confirm the hypothesis.
OBJECTIVES
To evaluate the efficacy of hand hygiene interventions alone or combined with facemasks in reducing influenza transmission in the community and to investigate the possible roles of latitude, temperature and humidity in relation to the efficacy of the interventions in controlling the spread of influenza.
SEARCH METHODS
This meta-analysis followed the PRISMA statement. I searched the MEDLINE, PubMed, EMBASE, Cochrane Central Register of Controlled Trials and Cochrane Library databases.
SELECTION CRITERIA
I included all RCTs assessing the effect of hand hygiene interventions in preventing influenza spread in community settings with clear outcome definitions of laboratory confirmed influenza, clinically diagnosed influenza-like illness (ILI) and their related absenteeism.
DATA COLLECTION AND ANALYSIS
I ranked the methodological quality of each outcome with GRADEprofiler. I also assessed the heterogeneity across RCTs using I2 statistic and publication bias through visual inspection of Begg’s funnel plots and statistical assessment of regression and rank-correlation. I conducted the meta-analysis with random-effect models and further performed separate analyses for developed and developing countries data in case of a significant level of heterogeneity being noted across the studies. I also incorporated meta-regression to assess the association of latitude, temperature and humidity with the efficacy of hand hygiene interventions.
RESULTS
I identified 1,593 articles in the initial database search, excluded 1,535, included five from reference lists of review articles, retrieved full articles of 33 and included ten for analysis. The quality of evidence of both laboratory confirmed influenza and ILI were high while that of absenteeism was low. The combination of hand hygiene interventions and facemasks contributed to a significant 45% reduced risk of influenza-related absenteeism in the combined country data while it contributed a significant 23% to a reduced risk of both laboratory confirmed influenza and ILI in developed countries subgroup analysis. The metaregression revealed that the efficacy of the combination of hand hygiene interventions with facemasks increased in a less humid environment.
CONCLUSIONS
The combination of hand hygiene interventions with facemasks is an effective low-cost intervention to prevent influenza. Further studies to assess the association between humidity and mode of influenza transmission are critically important to support the international guideline on hand hygiene interventions and facemask use.<br>published_or_final_version<br>Public Health<br>Master<br>Master of Public Health
39
Guijarro, de Ortiz Myriam. "Literacy Activities that Parents of Preschool Children Attending Day Care Promote at Home and Community Settings." Honors in the Major Thesis, University of Central Florida, 2005. http://digital.library.ucf.edu/cdm/ref/collection/ETH/id/760.
Full textAbstract:
This item is only available in print in the UCF Libraries. If this is your Honors Thesis, you can help us make it available online for use by researchers around the world by following the instructions on the distribution consent form at http://library.ucf<br>Bachelors<br>Education<br>Exceptional Education
40
Lindström, Maria. "Promoting agency among people with severe psychiatric disability : occupation-oriented interventions in home and community settings." Doctoral thesis, Umeå universitet, Arbetsterapi, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-50038.
Full textAbstract:
In general, people with severe psychiatric disability living in sheltered or supported housing lead passive, solitary lives. Current rehabilitative approaches often neglect considering an agentic perspective of the residents in sheltered or supported housing. Furthermore, the outreach and societal contexts are often not considered. Thus, practitioners tend to overlook the potential in providing support and rehabilitation that is adapted to their individual, collective and changing needs. My approach was to develop a model for Everyday Life Rehabilitation (ELR), which has a potential to promote agency while targeting recovery, meaningful daily occupations, social participation, and person-driven goals. We employed two occupational therapists (OT) and offered an intervention with ELR in a medium-sized municipality in northernSwedenand evaluated this intervention from the perspectives of residents and community care workers (CCW), using a combination of quantitative and qualitative methods. This thesis comprises four studies that focus on a home and community context, late rehabilitation efforts, daily occupations, and client-centredness. The overall aim is to understand and evaluate the impact of recovery- and occupation-oriented interventions in a home context for people with severe psychiatric disability. The study settings are sheltered and supported housing facilities. The first study (n=6) explores the significance of home for occupational transformations. The analysis reveals how residential conditions facilitate rehabilitative interactions, generating occupational transformations such as increasing social competence and taking charge of daily occupations. The second study evaluates occupation- and health-related outcomes of the ELR-intervention for residents (n=17). Pre-, post-, and follow-up differences in tests scores on goal attainment, occupation, and health-related factors indicate that important progress is made. The third study explores residents’ (n=16) narratives about occupational transformations in the context of everyday life and life history. Narrative analysis discloses stories of ‘rediscovering agency’, referring to occupational and identity transformations. The fourth study illuminates community care workers’ (n=21) experiences of collaborating with residents and OTs, using ELR. The CCW’ view on residents, rehabilitation, and the own role, along with organisational conditions in the housing facility, seem to characterise different outlooks influencing the CCWs responsiveness or resistance to the intervention. In conclusion, rehabilitation in a supported housing context appears paradoxical due to tensions between opposing values such as authentic versus artificial, and independence versus dependence. However, if residents are engaged in challenging these tensions, they can function as ‘progressive tensions’ generating change. Considering the personal and social meaning of home also appears to be valuable. The intervention studies on ELR, demonstrate its value for participants and indicates that a recovery approach applying ELR would promote shared perspectives among residents, CCWs, and OTs, while facilitating ‘agent-supported rehabilitation’ and ‘out-of-housing strategies’. The thesis provides initial support for the use of ELR-interventions and proposes continued research.<br>Vardagslivets Rehabilitering (Everyday Life Rehabilitation)
41
McCarthy, Michelle. "The sexual experiences and sexual abuse of women with learning disabilities in institutional and community settings." Thesis, Middlesex University, 1997. http://eprints.mdx.ac.uk/6708/.
Full textAbstract:
Using in-depth interviews with seventeen women with leaming disabilities this research focuses on how the women experienced their sexuality. Attention is paid both to their consented sexual experiences and sexual abuse, as well as to other related matters such as contraception and sexual health. The main findings of this research are that only a small minority of the women were very positive about their sexual lives. The majority lacked control in terms of deciding for themselves what they wanted to do, with whom, when and how. Most of the women experienced exclusively or predominantly penetrative sex. A lack of sexual pleasure generally, and orgasm specifically was reported by all the women. In addition very high levels of sexual abuse were reported. The findings of this research are discussed in the context of other related work in the learning disability field, and other research on the sexuality and sexual abuse of non-disabled women. One of the most important findings is that, with a few exceptions, there were very few differences in the experiences of women who lived, or had lived in hospitals compared to women who lived in community settings. The quality of the womens experiences were more directly determined by the nature of the relationships they had with men whether men were abusive or aggressive towards them; the women's levels of self-esteem and assertiveness then availability of sex education and support. Policy and practice recommendations are made which relate to increasing women's sexual safety in learning disability services achieving justice if they have been abused changing the content of sex education to include much more of an emphasis on women's sexual pleasure, choices and consent. Recommendations are also made for supporting men in their sexual relationships with women.
42
De, Giuli Federica. "Heart failure in the community and in hospitals : selection and survival of patients in different settings." Thesis, University of Cambridge, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.621260.
Full text
43
Razo, Steven. "The Cost of Comforting: Phenomenological Study on Burnout Among Marriage and Family Therapists in Community Settings." Antioch University / OhioLINK, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1528389139299608.
Full text
44
Avny, Shelley. "The Alliance-Outcome Association in CBT and Usual Care for Youth Depression Delivered in Community Settings." VCU Scholars Compass, 2011. http://scholarscompass.vcu.edu/etd/2368.
Full textAbstract:
The child-therapist alliance is believed to be a critical ingredient of successful psychotherapy for youth depression. However, only a few studies have examined the association between the alliance and clinical outcomes in the treatment of youth depression. The present thesis examined the alliance-outcome association in two treatments for youth depression: cognitive-behavioral therapy (CBT) and usual clinical care (UC). Data were from an effectiveness trial conducted in six community clinics (see Weisz et al., 2009). Forty-one youth were randomly assigned to receive CBT or UC from community clinicians. The observed early alliance, alliance shifts, and self-reported alliance did not significantly predict child- or parent-reported depression outcome. However, the direction and strength of the alliance-outcome associations differed across alliance methodology (self- and observer-report) and condition (CBT and UC). Early child alliance did significantly predict treatment satisfaction. Implications and limitations of the results are discussed.
45
Brinson, David Raymond. "Buddy-Motivational Interviewing (buddy-MI) to increase physical activity in community settings: A pragmatic randomised controlled trial." Thesis, University of Canterbury. School of Health Sciences, 2014. http://hdl.handle.net/10092/8922.
Full textAbstract:
Populations in developed and developing countries are becoming increasingly sedentary and the adverse health effects of relatively sedentary lifestyles, the so called lifestyle diseases, are now obvious. However, moderately vigorous physical activity is positively linked via a cause-and-effect relationship with a range of improved health outcomes. Broadly, current physical activity recommendations suggest that adults should achieve a total of at least 30 minutes a day of at least moderate intensity physical activity on five or more days of the week; however, estimates suggest that the majority of adults in the Western World do not meet these recommendations. Many of the factors involved in the initiation and long-term maintenance of physical activity are not fully understood. Considering the rapid pace of technological development and the general move away from labour-based economies, it does appear that the required level of physical activity necessary for optimal health needs to come from leisure-time activity– specifically, planned, regular, moderately vigorous exercise and/or sport. Unfortunately, many people experience great difficulty in engaging with and maintaining a physically active lifestyle and typically there is a rather large gap between what people know to be healthy and what they actually do.
The general aim of this project was to design, implement and evaluate the clinical, social and behavioural effectiveness of a buddy-Motivational Interviewing intervention (buddy-MI) in assisting relatively sedentary adults to adopt and maintain regular physical activity for the purpose of improving their cardio-respiratory fitness, health, and quality of life. Specific aims of the intervention included formally involving social support (via the self-selected motivational-buddy) and strengthening individuals’ motivation for and movement toward their physical activity goals. The experimental intervention specifically aimed to extend the MI treatment effect by enhancing participants’ commitment to physical activity over time via intra-treatment social support (support provided within treatment sessions) as well as extra-treatment social support (day-to-day support) provided by the motivational-buddy. A fundamental was to deliver the intervention in a format that could realistically be implemented within typical primary care settings, workplaces, schools or other similar setting: to work towards healthier more active communities and to potentially reduce health system resource utilisation.
Using a repeated-measures pragmatic parallel group randomised controlled trial (RCT) design, relatively sedentary adolescents and adults, in stable health, recruited from a university campus population were allocated to one of two interventions. In the experimental intervention, participants were supported by a self-selected motivational-buddy and they received 2-4 sessions of buddy-MI over a period of 12-months (participant determined schedule) as well as pro-active follow-up emails. The control intervention was standard care MI, and the same email follow-up as in the experimental group but without the additional support of a motivational-buddy. The main outcomes were self-reported physical activity, cardio-respiratory fitness and health related quality of life. These primary outcomes were measured at four time-points over the 12-months intervention and follow-up period and quantitative methods were used to analyse the data. Qualitative data were also analysed and presented in relation to the motivational-buddy component of the intervention. The study evaluated the feasibility and incremental effectiveness of motivational-buddy support compared to one-on-one MI in people who had expressed an interest in becoming more physically active. It used a novel intervention design incorporating self-selected motivational-buddies in an effort to mitigate the twin problems of poor adherence and behavioural regression that are commonly associated with physical activity promotion programmes. The intervention was found to have merit and the potential implications for the health-care system, and the wider community, are discussed.
46
Callahan, Wendell James. "MMPI-2, symptom reports, and acculturation of White- and Mexican-Americans in psychiatric, college, and community settings /." Diss., Connect to a 24 p. preview or request complete full text in PDF format. Access restricted to UC campuses, 1997. http://wwwlib.umi.com/cr/ucsd/fullcit?p9804022.
Full text
47
Munro, Kenneth D. "Clinical reasoning for manual handling risk assessments in community settings : moving from rule based to intuitive reasoning." Thesis, University of Strathclyde, 2017. http://digitool.lib.strath.ac.uk:80/R/?func=dbin-jump-full&object_id=28279.
Full textAbstract:
Background: There has been a shift in recent years to caring for patients with complex needs in their homes. In order to provide this care safely, tasks involving moving and handling need to be risk assessed. Little is known about how healthcare professionals conduct manual handling risk assessments (MHRAs) in community settings. Research Questions and Objective: There are three research questions used to investigate this thesis. To inform the research, âHow is safety and risk management legislation (MHOR, MHRA) used by professionals in the identification of hazards and in the risk evaluation of these hazards relating to a manual handling task?â. Secondly using these hazards and the risks associated with them the research has considered and has posed the following question, âin the community setting in what context can hazard identification and risk evaluation data be used and applied by HCPs when dealing with complex cases?â. Thirdly, there is the question, âto what exten t and in what ways is clinical reasoning relevant when undertaking MHRA in the community settings.â Methods: A qualitative design with thematic analysis was used to investigate the research questions. Training Workshops, based on two clinical cases, were conducted with healthcare professionals to determine the hazards they perceived in those cases, how they made risk decisions, and the way in which they communicated their risk information and findings. Semi-Structured Interviews were then used to investigate the effect of experience on the development of clinical reasoning in manual handling risk assessments. Participant Validation Interviews were then conducted on the resultant model and level descriptors. Main Findings: The findings from the workshops suggest that healthcare professionals should consider Medical Condition, Equipment, Home Environment, Complexity and Community Care when conducting MHRA in community settings. The findings from the interviews suggest three stages (Nov ice, Competent, and Expert) in the development of clinical reasoning in manual handling risk assessments in community settings. The resultant model and level descriptors were validated through participant validation interviews. Unique Contribution: This thesis develops a model about how healthcare professionals use clinical reasoning when conducting manual handling risk assessments in community settings. This model is presented as an (sic) unique theoretical contribution to knowledge and is based on the HSEs âFive Steps to Risk Assessmentâ, highlighting the processes of risk perception, risk decision making, and risk communication. The model integrates these processes with cyclical models of clinical reasoning and stages of development in clinical reasoning, yielding level-descriptors. Two methodological contributions to knowledge were made by firstly developing clinical case studies (Personas) that can be used to study MHRAs in community settings, and secondly a specific programme ^using MHRA training workshops that incorporate the âThink Aloudâ procedure. Implications: The theoretical implications of the model have to do with how HCPsâ clinical reasoning in conducting MHRAs develops with experience from rule-based to more holistic, intuitive-based reasoning. The model also points to a role for Non-Analytical Reasoning by experts, and the development of a safety culture in community care organisations. Practical implications of the model have to do with training, and the integration of health and social care in the community.
48
Demetriou, Constantina. "The role of family in mental health problems among adolescents from community and clinical settings in Cyprus." Thesis, University of Roehampton, 2014. https://pure.roehampton.ac.uk/portal/en/studentthesis/the-role-of-family-in-mental-health-problems-among-adolescents-from-community-and-clinical-settings-in-cyprus(1f5e11b4-e0a5-4022-8b3d-979018b4228c).html.
Full textAbstract:
Family dysfunction has been reported as an established risk factor for the development of mental health problems among adolescents. However, little is known whether this finding can be replicated in Cyprus as previous research has been conducted mostly in the UK, USA and Australia. Furthermore, studies that compare family dysfunction among adolescents in community and clinical settings are rare. Thus, the main aim of this Thesis is to compare the frequency of mental health problems among adolescents, and to investigate the impact of family attachment, functioning and communication. The present research consists of three studies using a mixed-method research design. A total of 737 adolescents from public schools and mental health units were recruited for study 1 and 2. Adolescents completed a set of questionnaires that measure mental health problems and family factors. The third study used a qualitative research design and involved interviewing 20 adolescents from both settings and their parents. Results revealed that 11.4% of the adolescents from a community setting experience some form of mental health problems, while the prevalence of these problems among adolescents from clinical setting was 26.6%. Findings of the interview similarly showed that clinically referred adolescents reported having interpersonal problems which impact on their mental health; similar finding could not be replicated among community sample. Attachment was found to be the most significant risk factor of their mental health. Unbalanced/disorganized adolescent-parent relationships were found to be common in clinical setting, while closeness characterized relationships in community setting. In addition, conflict, social isolation and parental separation were also found to be crucial components of an adolescent–parent relationship for clinically referred adolescents. To conclude, family dysfunction seemed to have an important role in adolescents’ mental health problems. Further studies are needed to examine the mechanisms that mediate the relationship between family and adolescent wellbeing.
49
Mohammed, Mufasir Muthaher. "Enterprise Resource Planning Model for Connecting People and Organization in Educational Settings." Thesis, Blekinge Tekniska Högskola, Avdelningen för för interaktion och systemdesign, 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:bth-4166.
Full textAbstract:
In this age of overwhelming technological innovation, organizations expect better prospectus and strategy for improving business in their own specific areas of interest. Organizations want to open new horizons by developing new communication techniques for communicating with their clients. With this step, they want to reduce the communication barrier between their clients and the organization itself. In future, organizations will use improved techniques for getting connected with their clients. When we talk about an educational organization it becomes very important for an educational institution to communicate with their students. The educational organizations have improved a lot in providing services to their students. But, there is lots of work to be done in the field of connecting the students with the educational institutions. If there is a good means of communication between students and the organization then there would be more scope for the aspiring students to join the institution. If an educational organization develops a medium for better communication with their students, that will help the university in finding new relations with aspiring students. In my thesis, I will explore the frameworks used in an educational setting using Enterprise Resource Planning model in developing Student community portal. Enterprise Resource Planning is used to integrate all the modules of the community portal, to maintain integrity of the system. I will also find the requirements that are necessary for developing such interactive system. This investigation will be helpful for developing a Student community portal; it helps to know about the services provided by the educational organization and for mutual communication in the student community. By this approach, it becomes very easy for a two way communication between the university and Student community. This will help to develop a framework and creates Design Pattern Architecture for the development of interactive system for student community in educational organizations.<br>Email: mufasirs@gmail.com Phone: +919390120586,+919347393001
50
Snider, Kellie Sisson Rosales-Ruiz Jesus. "A constructional canine aggression treatment using a negative reinforcement shaping procedure with dogs in home and community settings /." [Denton, Tex.] : University of North Texas, 2007. http://digital.library.unt.edu/permalink/meta-dc-5120.
Full text