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Intervention Methods (intervention + methods)
Selected AbstractsA comparison of Canadian and Australian paediatric occupational therapistsOCCUPATIONAL THERAPY INTERNATIONAL, Issue 3 2005AccOT Senior Lecturer, BScOT(Hons), Dr. G. Ted Brown PhD, OT(C) Abstract Paediatric occupational therapists were surveyed regarding their practices in Canada and Australia. Two hundred and eighty-nine Canadian occupational therapists and 330 Australian occupational therapists participated representing response rates of 28.9% and 55% respectively. The majority of respondents were female (98%), between 30 and 49 years of age (69%), had a bachelor's degree, worked on average 10.5 years in paediatrics and spent well over 50% of their work time in direct client care. The largest client diagnostic groups in both countries were those with developmental delays, learning disabilities and neurological disorders. Diagnostic groups were used as an organizing framework to portray theory, assessment and intervention use. Overall, the theoretical models cited most frequently in both countries were: Sensory Integration, Sensory Processing/Sensory Diet, Client-Centred Practice, and Occupational Performance Model. Australian therapists employed the Occupational Performance Model (Australia) for all groups, while it was rarely utilized in Canada. Common assessment tools in both Australia and Canada were the Peabody Developmental Motor Scales, Developmental Test of Visual Motor Integration, and the Bruininks-Oseretsky Test of Motor Proficiency. Intervention methods focused on: parental/care-giver education; activities of daily living/self-care skills training; client education; environmental modification; assistive devices; sensory integration techniques; sensory stimulation and sensory diet treatment methods; and neurodevelopmental techniques. Copyright © 2005 John Wiley & Sons, Ltd. [source] Effect of tauroursodeoxycholic acid on endoplasmic reticulum stress,induced caspase-12 activationHEPATOLOGY, Issue 3 2002Qing Xie Activation of death receptors and mitochondrial damage are well-described common apoptotic pathways. Recently, a novel pathway via endoplasmic reticulum (ER) stress has been reported. We assessed the role of tauroursodeoxycholic acid (TUDCA) in inhibition of caspase-12 activation and its effect on calcium homeostasis in an ER stress-induced model of apoptosis. The human liver-derived cell line, Huh7, was treated with thapsigargin (TG) to induce ER stress. Typical morphologic changes of ER stress preceded development of apoptotic changes, including DNA fragmentation and cleavage of poly (adenosine diphosphate-ribose) polymerase (PARP), as well as activation of caspase-3 and -7. Elevation of intracellular calcium levels without loss of mitochondrial membrane potential (MMP) was shown using Fluo-3/Fura-red labeling and flow cytometry, and confirmed by induction of Bip/GRP78, a calcium-dependent chaperon of ER lumen. These changes were accompanied by procaspase-12 processing. TUDCA abolished TG-induced markers of ER stress; reduced calcium efflux, induction of Bip/GRP78, and caspase-12 activation; and subsequently inhibited activation of effector caspases and apoptosis. In conclusion, we propose that mitochondria play a secondary role in ER-mediated apoptosis and that TUDCA prevents apoptosis by blocking a calcium-mediated apoptotic pathway as well as caspase-12 activation. This novel mechanism of TUDCA action suggests new intervention methods for ER stress-induced liver disease. [source] Physical Interventions with People with Intellectual Disabilities: Staff Training and Policy FrameworksJOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES, Issue 2 2003Glynis Murphy Background, Physical intervention or restraint with people who have intellectual disabilities is sometimes necessary, even though it is known to present dangers to both staff and service users (some service users have died as a result of restraint). Aims, This study aims to investigate the extent to which staff in intellectual disability services were trained in the use of physical interventions or restraint. Their views of a recent policy framework on physical interventions were also sought. Methods, There were three groups of participants: (i) group 1 included staff who had attended conferences on the Policy Framework (the conference sample); (ii) group 2 included staff from two geographical areas (the geographical sample); (iii) group 3 included staff in specialist assessment and treatment services (the SpAT sample). All participants were sent a questionnaire asking them about their training in (and use of) physical intervention methods and their opinions on the policy document. Results, There were at least 12 different types of training recorded, including a number of varieties of Control and Restraint (C&R). By no means did all the senior staff did have training in physical intervention methods. The degree of training varied with the sample and the type of training varied with the employing organization. Most participants in group 1 were very positive about the BILD & NAS Policy Framework but few staff in groups 2 and 3 had read the document. About two-thirds of the participants said their services had (or were developing) a written policy on physical interventions. Conclusions, There remained a clear need for further training in physical interventions and evidence on which the effectiveness of different methods of physical interventions could be judged. [source] The practice of early recognition and early intervention to prevent psychotic relapse in patients with schizophrenia: an exploratory study.JOURNAL OF PSYCHIATRIC & MENTAL HEALTH NURSING, Issue 3 2002Part In this article we describe the findings of an exploratory study into the application of early recognition and early intervention methods aimed at prevention of psychotic relapses in patients with schizophrenia. We addressed several models of symptom recognition plans and indicated how patients, healthcare professionals and other persons involved may be able to list and evaluate early warning signs systematically. We also paid attention to the role of the patient's family and to the potential effects of using early recognition and early intervention methods. In a follow-up article (part 2), we will focus more specifically on factors which favourably or adversely affect the use of early recognition and early intervention methods. The results of this exploratory study will be used to design an intervention protocol for nursing staff to serve as a tool for preparing symptoms recognition plans with the individual patient and his/her social network. [source] The practice of early recognition and early intervention to prevent psychotic relapse in patients with schizophrenia: an exploratory study.JOURNAL OF PSYCHIATRIC & MENTAL HEALTH NURSING, Issue 3 2002Part In this article we describe the findings of an exploratory study into the application of early recognition and early intervention methods aimed at prevention of psychotic relapses in patients with schizophrenia. Following the results we described in part 1, we now focus specifically on factors which favourably or adversely affect the use of early recognition and early intervention methods. The following issues will be addressed: (i) information and education; (ii) attitude of health care professionals; (iii) the patient's insight; (iv) acceptance of illness; (v) motivation; (vi) other relevant patient characteristics; and (vii) continuity of care. Finally, the implications of the findings for the development of a nursing intervention protocol will be discussed. [source] A systematic narrative review of the studies on structured child-centred interventions for families with a parent with cancerPSYCHO-ONCOLOGY, Issue 5 2010Mika Niemelä Abstract Objective: To perform a systematic narrative review of the current state of published articles on the structured interventions targeted at children with a parent suffering from cancer. Methods: The study was based on a narrative synthesis approach. Eleven structured child-centred intervention studies were systematically searched through PubMed, PsycINFO and MEDLINE. The interventions were grouped into two main categories: ,structured family interventions' and ,structured peer group interventions'. Special attention was focused on the preventive purpose of the interventions. Results: The participants (children, parents and health professionals) reported several positive impacts of interventions on children's and parents' psychosocial well-being, although no improvement or changes were also observed. The effect of interventions on the children was evaluated by structured methods only in five studies. Conclusions: This review showed the lack of valid psychosocial preventive intervention methods focusing on children with parental cancer and highlighted the need of intervention research with controlled study designs and long follow-up periods. However, an intervention method should be easy to train and applicable to the clinical practice of healthcare professionals. By refining the practice-based experiences with scientific research evidence it is possible to move to the next level in providing psychosocial support and prevention for children living in families with parental cancer. Copyright © 2009 John Wiley & Sons, Ltd. [source] Parent-administered modified dry-bed training for childhood nocturnal enuresis: evidence for superiority over urine-alarm conditioning when delivery factors are controlledBEHAVIORAL INTERVENTIONS, Issue 4 2002Shazia Nawaz We compared the relative efficacy of modified dry-bed training and standard urine-alarm conditioning for treating functional nocturnal enuresis in 36 children aged 7,12 years attending health centres in Glasgow, Scotland. A minimal intervention, self-help approach was adopted. Parents and children received standardized instruction, which, for each method, consisted of one clinic interview and a manual and videotape for home viewing. Outcomes were contrasted with those from untreated controls. Twelve children were randomly assigned to each condition. All groups were matched for age, gender, social class (deprivation category), and baseline wetting frequency. In the two treated groups, an intake interview was followed by two review appointments, otherwise families carried out the programmes independently at home with fortnightly telephone support either until the success criterion of 14 consecutive dry nights was met or the 16 week maximum treatment period expired. Of the 12 children treated by dry-bed training, eight achieved initial success compared with only three of the 12 treated by the conventional urine-alarm method. One waiting-list control child remitted spontaneously. ANOVA showed highly significant differences in wet nights per week immediately after intervention for both treatment and time factors (p,<,0.001) and their interaction (p,<,0.01). The dry-bed group averaged 0.8 nights per week wet on treatment cessation, a frequency which was significantly superior to the average of 3.25 for the urine-alarm group and 5.00 for the controls. Six months after attaining initial success, one child in each treated group had relapsed. Our results show an outcome of 58% long-term remission (67% initial arrest, 13% relapse) for dry-bed training when delivered by minimal intervention methods and indicate dry-bed training as being more effective than orthodox urine-alarm conditioning for the same input of clinic time and instruction. Copyright © 2002 John Wiley & Sons, Ltd. [source] Comprehensive Review of Campylobacter and Poultry ProcessingCOMPREHENSIVE REVIEWS IN FOOD SCIENCE AND FOOD SAFETY, Issue 2 2004K.M. Keener ABSTRACT Campylobacter has been recognized as a leading bacterial cause of human gastroenteritis in the United States, with 40000 documented cases annually. Epidemiological data suggest that contaminated products of animal origin, especially poultry, contribute significantly to campylobacteriosis. Thus, reduction of contamination of raw poultry would have a large impact in reducing incidence of illness. Contamination occurs both on the farm and in poultry slaughter plants. Routine procedures on the farm such as feed withdrawal, poultry handling, and transportation practices have a documented effect on Campylobacter levels at the processing plant. At the plant, defeathering, evisceration, and carcass chillers have been documented to cross-contaminate poultry carcasses. Carcass washings and the application of processing aids have been shown to reduce populations of Campylobacter in the carcasses by log10 0.5 log10 1.5; however, populations of Campylobacter have been shown to enter a poultry processing plant at levels between log10 5 colony-forming units (CFU)/mL and log10 8 CFU/mL of carcass rinse. The purpose of this article is to review Campylobacter, the infection that it causes, its association with poultry, contamination sources during processing, and intervention methods. [source] | ||||||||||