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Participants' Perceptions (participant + perception)
Selected AbstractsLesbian and Heterosexual Preadoptive Couples' Openness to Transracial AdoptionAMERICAN JOURNAL OF ORTHOPSYCHIATRY, Issue 1 2009Abbie E. Goldberg PhD This study uses data from 147 White preadoptive couples (54 lesbian, 93 heterosexual) to examine adopters' subjective explanations for why they are open or not open to adopting transracially. Participant perceptions of racial-ethnic diversity in their communities and families, perceptions of family support or nonsupport, and attitudes about race were among the factors they cited as influencing their openness. These findings hold important implications for training and service delivery in transracial adoption. [source] Patients' Sexual Health: A Qualitative Research Approach on Greek Nurses' PerceptionsTHE JOURNAL OF SEXUAL MEDICINE, Issue 8 2009Evangelia Nakopoulou MSc ABSTRACT Introduction., Health care professionals, especially nurses, through their contact with patients, play an important role in encouraging discussions about sexual concerns. Aim., To explore perceptions on sexual health issues and how these might inhibit or enhance Greek nurses' ability to incorporate sexual health assessment into everyday practice. Main Outcome Measures., A discussion guide was used as checklist to ensure that the basic issues would be addressed. Topics related to the areas of interest were either brought up from the participants or introduced by the moderator. Methods., The study recruited a purposive sample of 44 Greek staff nurses (SN) attending a course leading to their professional upgrading. A qualitative research design was employed using seven focus groups. Discussions started with nurses' perceived definitions of sexual health and proceeded with open-ended questions. Transcripts were analyzed using thematic analysis based on the principles of grounded theory. Results., Three central themes were identified from transcripts' thematic analysis: subjective perception of sexual health, discussing sexual problems, and educational and training needs. Participants' perceptions of sexual health centred mainly on the emotional and somatic dimensions. Regarding clinical practice, a variety of personal and contextual reasons limit nurses' willingness to talk about sexuality with patients, such as gender and age differences, familial upbringing, lack of time and privacy, and restricted perception of nursing role. All nurses stressed the need for further specialized training not only in physiology issues related to sexuality, but also most importantly in communication skills. Conclusions., Although Greek nurses acknowledge the importance of sexual health assessment, they believe that sexual history taking is not within the range of their professional tasks. Since holistic care demands sexual health assessment and intervention to be an integral part of nursing practice, it is necessary to introduce courses in their curriculum and experiential workshops addressing the multidimensionality of sexuality. Nakopoulou E, Papaharitou S, and Hatzichristou D. Patients' sexual health: A qualitative research approach on Greek nurses' perceptions. J Sex Med 2009;6:2124,2132. [source] Emergency Medicine Crisis Resource Management (EMCRM): Pilot Study of a Simulation-based Crisis Management Course for Emergency MedicineACADEMIC EMERGENCY MEDICINE, Issue 4 2003Martin Reznek MD Objectives: To determine participant perceptions of Emergency Medicine Crisis Resource Management (EMCRM), a simulation-based crisis management course for emergency medicine. Methods: EMCRM was created using Anesthesia Crisis Resource Management (ACRM) as a template. Thirteen residents participated in one of three pilot courses of EMCRM; following a didactic session on principles of human error and crisis management, the residents participated in simulated emergency department crisis scenarios and instructor-facilitated debriefing. The crisis simulations involved a computer-enhanced mannequin simulator and standardized patients. After finishing the course, study subjects completed a horizontal numerical scale survey (1 = worst rating to 5 = best rating) of their perceptions of EMCRM. Descriptive statistics were calculated to evaluate the data. Results: The study subjects found EMCRM to be enjoyable (4.9 ± 0.3) (mean ± SD) and reported that the knowledge gained from the course would be helpful in their practices (4.5 ± 0.6). The subjects believed that the simulation environment prompted realistic responses (4.6 ± 0.8) and that the scenarios were highly believable (4.8 ± 0.4). The participants reported that EMCRM was best suited for residents (4.9 ± 0.3) but could also benefit students and attending physicians. The subjects believed that the course should be repeated every 8.2 ± 3.3 months. Conclusions: The EMCRM participants rated the course very favorably and believed that the knowledge gained would be beneficial in their practices. The extremely positive response to EMCRM found in this pilot study suggests that this training modality may be valuable in training emergency medicine residents. [source] Post-operative epidural analgesia: introducing evidence-based guidelines through an education and assessment processJOURNAL OF CLINICAL NURSING, Issue 2 2001DipDN, Janet Richardson BSc ,,The aim of this project was to re-introduce post-operative epidural analgesia on to two orthopaedic wards using an evidence-based practice approach. This was achieved through the provision of appropriate staff education and information, assessment of staff competence, and provision of relevant and appropriate staff support. ,,An education programme was developed which included study days, ward-based teaching and the assessment of competence. ,,The introduction of guidelines followed an audit cycle in order to measure the success of the education programme. ,,All nursing staff involved in the project were asked to complete a questionnaire which assessed their knowledge of caring for patients with postoperative epidural analgesia. This was completed before and following the education programme. ,,The outcome measures were: (i) successful completion of competence-based assessment; (ii) levels of knowledge as assessed by the knowledge questionnaire; and (iii) participant perceptions of the project. ,,The results of the questionnaire demonstrated significant improvements in knowledge following the education programme. Participants commented on the importance of the ward-based teaching. They also felt that pain was controlled more effectively using this method of analgesia. [source] Quality of life in Chinese elderly people with depressionINTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY, Issue 4 2006Sally W. C. Chan Abstract Background Depression is the most prevalent functional mental disorder of later life. It is estimated that about 5% of the elderly population of Hong Kong are suffering from depression. Aim To investigate the self-rated quality of life of community-dwelling elderly people diagnosed with depression, and to examine the relationships between quality of life and mental, physical health, functional status and social support. Methods and results A cross-sectional descriptive survey was conducted in psychiatric outpatient clinics. A convenience sample of 80 Chinese elderly people with a diagnosis of depressive disorder was recruited. Perception of quality of life was measured by the Hong Kong Chinese World Health Organization Quality of Life Scale,Brief Version. Participants' mental status, functional abilities, physical health condition, and social support status were assessed. Sixty-one (76.3%) participants were female. They were least satisfied with ,meaningfulness of life', ,life enjoyment', ,concentration and thinking', ,energy' and ,work capacity'. Functional abilities had a positive association with participants' perceived quality of life, level of depression and number of physical health conditions had a negative association. Participants had low ratings of quality of life when compared with healthy persons and persons with chronic physical problems. Findings are discussed in light of the socio-cultural environment in Hong Kong. Conclusion Comprehensive treatment and better control of depression, including different modes of medical and psychosocial intervention, could help to improve participants' perception of quality of life. A longitudinal study with a larger sample with various levels of depression and socio-demographic characteristics is recommended. Copyright © 2006 John Wiley & Sons, Ltd. [source] Intuitive evaluation of likelihood judgment producers: evidence for a confidence heuristicJOURNAL OF BEHAVIORAL DECISION MAKING, Issue 1 2004Paul C. Price Abstract This research tests the hypothesis of Yates et al. (1996) that people prefer judgment producers who make extreme confidence judgments. In each of three experiments, college students evaluated two fictional financial advisors who judged the likelihood that each of several stocks would increase in value. One of the advisors (the moderate advisor) was reasonably well calibrated and the other (the extreme advisor) was overconfident. In all three experiments, participants tended to prefer the extreme advisor. Experiments 2 and 3 showed that the advisors' confidence influenced participants' perception of their knowledge, and Experiment 3 showed that it influenced their perception of the number of categorically correct judgments they made. Both of these variables were, in turn, related to participants' preferences. Experiment 3 also suggested that need for cognition and right-wing authoritarianism are positively related to preference for the extreme advisor. A quantitative model is presented, which captures the basic pattern of results. This model includes the assumption that people use a confidence heuristic; they assume that a more confident advisor makes more categorically correct judgments and is more knowledgeable. Copyright © 2004 John Wiley & Sons, Ltd. [source] Nightguard Vital Bleaching of Tetracycline-Stained Teeth: 90 Months Post TreatmentJOURNAL OF ESTHETIC AND RESTORATIVE DENTISTRY, Issue 3 2003RALPH H. LEONARD JR DDS ABSTRACT Purpose: The purpose of this longitudinal whitening study was to determine the stability, post-treatment side effects, and patient satisfaction at 90 months post treatment after 6 months of active treatment of tetracycline-stained teeth with 10% carbamide peroxide. Materials and Methods: Fifteen of 21 participants enrolled in the study (71%) were contacted and asked to participate in a survey concerning their whitening experience. Participants were asked whether there had been any change in the shade of their teeth after treatment and if they had experienced any side effects that they believed were treatment related. Eight of the 15 participated in a clinical examination. Results: Nine participants (60%) reported no obvious shade change or only a slight darkening not noticed by others. None reported darkening back to the original shade; however, four had re-treated their teeth. Examiners were in agreement with the participants' perception of shade change upon comparing pretreatment and post-treatment photographs and Vita® shade (Vita Zahnfabrik D-79713, Bad Sackingen, Germany) values. The degree of improvement over the pretreatment shade was significant for the 90-month post-treatment shade (p < .01). All respondents (n = 15) denied having to have a crown or root canal or tooth sensitivity that they believed was treatment related. CLINICAL SIGNIFICANCE The results of this study of nightguard vital bleaching indicate that tetracycline-stained teeth can be whitened successfully using extended treatment time and that shade stability may last at least 90 months post treatment (range 84,100 mo). Patients participating in this study were over-whelmingly positive about the procedure in terms of shade retention and lack of post-treatment side effects. [source] 11 Gastric myoelectric activity while viewing and eating food in obese participantsNEUROGASTROENTEROLOGY & MOTILITY, Issue 6 2006JY WANG Purpose:, This study observed the reactions of the stomach to food viewing and food eating in obese people. Method:, The participants were 20 obese (mean BMI of 32) and 20 normal-weighted (mean BMI of 21) undergraduate students, who were required to fast for at least 4 hours preceding the experiment. They viewed a video clip of food for 6 minutes; consumed food till full; and viewed the same video clip of food 30 minutes after the meal. Cutaneous electrogastrograms (EGGs) were recorded during the entire procedure. Questionnaires concerning the participants' perception of somatic and affective changes during the tasks were completed. Results:, The percentages of bradygastric, normal and tachygastric EGG activity were very similar between obese group and normal-weighted group during the baseline period. During the first food image viewing, an increase in normal 3 cpm activity and a decreased in bradygastric activity occurred in both groups, but obese participants showed less of an increase in 3 cpm activity than normal-weighted participants and the percentage of bradygastric activity was higher in obese group than in the normal-weighted group. During the 30 min. period following the meal, a higher percentage of bradygastric activity and a lower percentage of 3 cpm activity were observed in obese participants than in normal-weighted participants. Furthermore, obese participants showed a different pattern of change in 3 cpm and bradygastric activity than normal-weighed participants during the 30 min. The whole 30-min period was divided into five 6-min periods. In the obese group, the percentage of 3 cpm activity decreased in the third and forth 6-min periods and increased to the highest level in the last 6-min period, while in the normal-weighted group, the 3 cpm percentage was the greatest in the first 6-min period. Obese participants and normal-weighted participants reacted similarly to the second food image exposure, except that a higher increase in 3 cpm activity was observed in the normal-weighted group in the period after the termination of viewing the food images. Conclusions:, These data suggest that obese people react to food images and to food eating differently from normal-weighted people. EGG activity in obese participants needs further investigation. [source] Methodological issues in the recruitment of cancer pain patients and their caregiversRESEARCH IN NURSING & HEALTH, Issue 3 2006Sean Ransom Abstract Published pain management guidelines recommend that caregivers of cancer pain patients be provided pain management education, but little is known about the utility of providing such information. This study examined recruitment and retention of cancer pain patients and caregivers for a randomized clinical trial that provided psychoeducation and stress management training to caregivers. Of 397 patient/caregiver dyads screened, only 22 (5.5%) were study eligible, consented to participate, and completed the study. A variety of problems hampered successful participation, including a high proportion of non-cancer-related pain syndromes among patients, a high proportion of patients without caregivers, and participants' perception of study burden. Results suggest that researchers should recruit from a broad patient base and limit study burden on participants. © 2006 Wiley Periodicals, Inc. Res Nurs Health 29:190,198, 2006 [source] Simulation in a Disaster Drill: Comparison of High-fidelity Simulators versus Trained ActorsACADEMIC EMERGENCY MEDICINE, Issue 11 2008Brian Gillett MD Abstract Objectives:, High-fidelity patient simulation provides lifelike medical scenarios with real-time stressors. Mass casualty drills must construct a realistic incident in which providers care for multiple injured patients while simultaneously coping with numerous stressors designed to tax an institution's resources. This study compared the value of high-fidelity simulated patients with live actor-patients. Methods:, A prospective cohort study was conducted during two mass casualty drills in December 2006 and March 2007. The providers' completion of critical actions was tested in live actor-patients and simulators. A posttest survey compared the participants' perception of "reality" between the simulators and live actor victims. Results:, The victims (n = 130) of the mass casualty drill all had burn-, blast-, or inhalation-related injuries. The participants consisted of physicians, residents, medical students, clerks, and paramedics. The authors compared the team's execution of the 136 critical actions (17 critical actions × 8 scenarios) between the simulators and the live actor-patients. Only one critical action was missed in the simulator group and one in the live actor group, resulting in a miss rate of 0.74% (95% confidence interval [CI] = 0.01% to 4.5%). All questionnaires were returned and analyzed. The vast majority of participants disagreed or strongly disagreed that the simulators were a distraction from the disaster drill. More than 96% agreed or strongly agreed that they would recommend the simulator as a training tool. The mean survey scores for all participants demonstrated agreement that the simulators closely mimicked real-life scenarios, accurately represented disease states, and heightened the realism of patient assessment and treatment options during the drill with the exception of nurse participants, who agreed slightly less strongly. Conclusions:, This study demonstrated that simulators compared to live actor-patients have equivalent results in prompting critical actions in mass casualty drills and increase the perceived reality of such exercises. [source] Red and romantic behavior in men viewing womenEUROPEAN JOURNAL OF SOCIAL PSYCHOLOGY, Issue 6 2010Daniela Niesta Kayser In many non-human primate species, a display of red by a female increases attraction behavior in male conspecifics. In two experiments, we investigate an analogous effect in humans, specifically, whether red on a woman's shirt increases attraction behavior in men. In Experiment 1, men who viewed an ostensible conversation partner in a red versus a green shirt chose to ask her more intimate questions. In Experiment 2, men who viewed an ostensible interaction partner in a red versus a blue shirt chose to sit closer to her. These effects were observed across participants' perceptions of their own attractiveness (Experiment 1) and general activation and mood (Experiment 2). Our findings suggest that red acts as a basic, non-lexical prime, influencing reproduction-relevant behavior in like manner across species. Copyright © 2010 John Wiley & Sons, Ltd. [source] Effects of Clothing and Behavior on Perceptions Concerning an Alleged Date RapeFAMILY & CONSUMER SCIENCES RESEARCH JOURNAL, Issue 3 2000Kim K. P. Johnson The use of schemata in social cognition was the theoretical framework for this quasiexperimental study that investigated the relative effect of clothing, behavior, and participants' sex on perceptions surrounding an alleged date rape. A convenience sample of 368 individuals (men = 160, women = 208) read vignettes that manipulated the independent variables in a description of a date. After reading the vignettes, participants responded on Likert-type scales to questions measuring their perceptions, including whether or not a rape had occurred. Participants were asked to provide reasons for each of their responses. Data were analyzed by using multivariate analyses of variance (MANOVAs), analyses of variance (ANOVAs), and qualitative techniques. Although the victim's clothing did not result in significant differences, the victim's behavior and participant's sex were statistically significant influences on participants' perceptions. [source] Whining as mother-directed speechINFANT AND CHILD DEVELOPMENT, Issue 5 2005Rosemarie I. Sokol Abstract Although little studied, whining is a vocal pattern that is both familiar and irritating to parents of preschool- and early school-age children. The current study employed multidimensional scaling to identify the crucial acoustic characteristics of whining speech by analysing participants' perceptions of its similarity to other types of speech (question, neutral speech, angry statement, demand, and boasting). We discovered not only that participants find whining speech more annoying than other forms of speech, but that it shares the salient acoustic characteristics found in motherese, namely increased pitch, slowed production, and exaggerated pitch contours. We think that this relationship is not random but may reflect the fact that the two forms of vocalization are the result of a similar accommodation to a universal human auditory sensitivity to the prosody of both forms of speech. Copyright © 2005 John Wiley & Sons, Ltd. [source] Operating room nurses' perceptions of the effects of physician-perpetrated abuseINTERNATIONAL NURSING REVIEW, Issue 3 2010B.L. Higgins rn HIGGINS B.L. & MACINTOSH J. (2010) Operating room nurses' perceptions of the effects of physician-perpetrated abuse. International Nursing Review57, 321,327 Background:, Operating room (OR) nurses experience abuse perpetrated by physicians; however, little research has been conducted to examine nurses' perceptions of the effects of such abuse. Aims:, The aim of this research was to understand participants' perceptions of physician-perpetrated abuse on their health and ability to provide patient care. Materials/Methods:, In this qualitative descriptive study, ten operating room nurses working in Eastern Canada participated in open-ended, individual audiotaped interviews that were transcribed for analysis using Boyatzis' method for code development. Results:, Three categories of factors contributing to abuse were developed. The first, culture of the OR, included environment and hierarchy. The second, catalysts of abuse, included nurses' positions and experience as well as non-nurse factors such as resources and interpersonal relationships among physicians. The third category, perceived effects, included psychological, physical and social health consequences for nurses. Effects on patient care consisted of safety and potential challenges to access. Discussion:, Nursing practice implications included mentoring, support and accountability for action. Educational implications related to interdisciplinary education and increased education on communication, assertiveness, and awareness of abuse. Implications for research included studying perceptions of other health-care providers including physicians, studying recruitment and retention in relation to abuse, and studying other abuse in health care such as horizontal violence. Conclusion:, We suggest a proactive approach for empowering OR nurses to address abuse and an increased focus on interdisciplinary roles. [source] Functions of Christian Prayer in the Coping ProcessJOURNAL FOR THE SCIENTIFIC STUDY OF RELIGION, Issue 1 2008MARY K. BADE This research project sought to examine the multiple functions that prayer serves in the coping process for members of Christian groups. We used concept mapping to describe and organize a small group of participants' perceptions concerning the functions of prayer when coping with personal difficulties, as well as examined the frequency and perceived effectiveness of these prayer functions. The number and variety of items generated by participants indicates that prayer can be used in multiple ways to deal with personal problems. Inspection of these items and the resulting concept map yielded three bipolar dimensions that describe a variety of prayer functions: approach/avoidance; internal focus/external focus; and deferring/self-directing. The arrangement of items also corresponded roughly to a three-factor structure found in several existing coping measures. Participants reported that the most effective prayer functions involve seeking guidance and expressing gratitude. [source] Sexual Assault and Defendant/Victim Intoxication: Jurors' Perceptions of Guilt,JOURNAL OF APPLIED SOCIAL PSYCHOLOGY, Issue 2 2000ANNE-MARIE WALL The present research investigates how defendant and claimant intoxication operates in sexual-assault trials. Participants (N= 323) were provided with a description of a sexualassault trial in which the intoxication level (sober, moderate, extreme) of both parties was systematically varied. While the introduction of alcohol altered participants' perceptions of the case and of the parties involved, a complex interplay between the defendant's and complainant's level of intoxication was apparent. When the complainant was sober, harsher judgments were rendered when the defendant was intoxicated, particularly at the extreme level. In contrast, when the complainant was moderately intoxicated, more guilty verdicts occurred when the defendant was similarly inebriated. Finally, when the complainant was extremely intoxicated, the defendant's beverage consumption did not exert any discemible impact. Evaluations of both parties' abilities to self-regulate their behavior and for the female target to become sexually disinhibited were also influenced by the intoxication manipulation. [source] Social goals and conflict strategies of individuals with mild to moderate intellectual disabilities who present problems of aggressionJOURNAL OF INTELLECTUAL DISABILITY RESEARCH, Issue 5 2008C. Pert Abstract Background A few recent studies have adopted a social cognitive perspective to explore how individuals with intellectual disabilities (IDs), who present problems of aggression, view their social world. The focus has mainly been on participants' perceptions of others' behaviour within conflict situations. The present exploratory study aims to compliment existing research by exploring social cognitive factors that may influence how individuals respond to conflict. Methods Study was carried out with 20 aggressive and 20 non-aggressive men and women who have a mild to moderate ID. The ,Social Goals and Strategies for Conflict' (SGASC) assessment was devised to explore whether group or gender differences could be found in participants' expected outcomes of aggressive strategies, their expected outcomes of submissive strategies and their emotional reaction to these outcomes. Participants' social goals within hypothetical situations of conflict were also explored. Results It was found that aggressive and non-aggressive participants have different social goals. There were no significant differences for expected outcomes of aggression or submissiveness. Nevertheless, a number of trends suggest that more aggressive participants expect negative outcomes for submissiveness compared with their non-aggressive peers. Conclusions While the findings of this study are tentative, investigating the social outcomes that are valued by individuals with ID who present problems of aggression appears to be a promising area for further research, with possible implications for clinical assessment and treatment. [source] Cultural Perspectives of International Breast Health and Breast Cancer EducationJOURNAL OF NURSING SCHOLARSHIP, Issue 2 2007Karen Dow Meneses Purpose: To (a) describe teaching,learning strategies to foster cultural exchange among participants in the Train-The-Trainer (TTT) International Breast Health Program; (b) describe participants' perceptions of cultural influences on breast health and breast cancer; and (c) explore lessons learned about cultural influences on breast health TTT educational programs. Organizing Construct: The TTT curriculum was grounded in the belief that nurses can effectively deliver breast health and breast cancer education, that educational programs must be culturally relevant and sensitive to the needs of the target population, and that an urgent need exists worldwide to reduce the burden of breast cancer. Methods: A total of 32 nurses from 20 countries participated in three TTT programs held before the biennial meetings of the International Society of Nurses in Cancer Care (ISNCC) since 2000, with follow-up by E-mail survey. Narrative descriptions of their perspectives and experiences are reported. Results: Teaching,learning strategies incorporated cultural values into a TTT program to engage participants in sharing their individual and collective experiences about women with breast cancer. Conclusions: Developing countries are increasingly multicultural. Developed countries have large immigrant populations that generally maintain the cultural values and practices about breast cancer from the country of origin. These "lessons learned" are important in planning other educational programs. [source] Pedagogy, power and service user involvementJOURNAL OF PSYCHIATRIC & MENTAL HEALTH NURSING, Issue 1 2004A. FELTON mn rn (mental health) This paper explores mental health nurse educators' perceptions of the involvement of service users in preregistration nurse education. The idea for the study was developed from a local group of people including service users, lecturers and students committed to finding ways to develop service user involvement in education. This qualitative study uses semi-structured interviews to explore participants' perceptions in depth. Five lecturers who teach on the diploma programme based at a large teaching hospital were interviewed. The results suggest that the current situation of involving service users at the research site was ineffective. The concepts of ,role' and power relationships were used to explore the reasons for this. The development of service user involvement in education is complex and requires further research. [source] Workplace-based assessment for general practitioners: using stakeholder perception to aid blueprinting of an assessment batteryMEDICAL EDUCATION, Issue 1 2008Douglas J Murphy Context, The implementation of an assessment system may be facilitated by stakeholder agreement that appropriate qualities are being tested. This study investigated the extent to which stakeholders perceived 8 assessment formats (multiple-choice questions, objective structured clinical examination, video, significant event analysis, criterion audit, multi-source feedback, case analysis and patient satisfaction questionnaire) as able to assess varying qualities of doctors training in UK general practice. Methods, Educationalists, general practice trainers and registrars completed a blueprinting style of exercise to rate the extent to which each evaluation format was perceived to assess each of 8 competencies derived primarily from the General Medical Council document Good Medical Practice. Results, There were high levels of agreement among stakeholders regarding the perceived qualities tested by the proposed formats (G = 0.82,0.93). Differences were found in participants' perceptions of how well qualities were able to be assessed and in the ability of the respective formats to test each quality. Multi-source feedback (MSF) was expected to assess a wide range of qualities, whereas Probity, Health and Ability to work with colleagues were limited in terms of how well they could be tested by the proposed formats. Discussion, Awareness of the perceptions of stakeholders should facilitate the development and implementation of workplace-based assessment (WPBA) systems. These data shed light on the acceptability of various formats in a way that will inform further investigation of WPBA formats' validity and feasibility, while also providing evidence on which to base educational efforts regarding the value of each format. [source] A pilot study of a pulmonary rehabilitation programme evaluated by four adults with chronic obstructive pulmonary diseaseOCCUPATIONAL THERAPY INTERNATIONAL, Issue 2 2008Anna Norweg Abstract The purpose of this qualitative study was to analyse participants' perceptions of a pulmonary rehabilitation programme, which combined occupational therapy with physical therapy. Semi-structured interviews were used to collect data from four adults with chronic obstructive pulmonary disease (COPD) who attended an outpatient pulmonary rehabilitation programme in New York City. Features of the occupational therapy programme reported to be valuable were biofeedback and clinician support. Participants reported more control of dyspnoea, improved mental health and confidence in performing daily activities, less fatigue, more physically active lifestyles and hope for the future. Limitations of the study were that participants were interviewed only once and themes were not verified with participants. The study results also cannot be generalized. Further research is needed to evaluate the effectiveness of occupational therapy in promoting self-management and coping skills and restoring occupational performance in adults with COPD. Participants' responses provide additional support for developing cognitive-behavioural protocols in occupational therapy and measuring their effectiveness in relieving anxiety symptoms and promoting dyspnoea management. Copyright © 2008 John Wiley & Sons, Ltd. [source] Four Perspectives on Public Participation Process in Environmental Assessment and Decision Making: Combined Results from 10 Case StudiesPOLICY STUDIES JOURNAL, Issue 4 2006Thomas Webler Knowing how people think about public participation processes and knowing what people want from these processes is essential to crafting a legitimate and effective process and delivering a program that is widely viewed as meaningful and successful. This article reports on research to investigate the nature of diversity among participants' perceptions of what is the most appropriate public participation process for environmental assessment and decision making in 10 different cases. Results show that there are clearly distinct perspectives on what an appropriate public participation process should be. We identified four perspectives: Science-Centered Stakeholder Consultation, Egalitarian Deliberation, Efficient Cooperation, and Informed Collaboration. The literature on public participation tends to presume that there are clear and universal criteria on how to "do" public participation correctly or that context is the critical factor. This study has revealed that even within a specific assessment or decision-making effort, there may be different perspectives about what is viewed as appropriate, which poses a challenge for both theorists and practitioners. Among the active participants in these 10 case studies, we found limited agreement and strong differences of opinions for what is a good process. Points of consensus across these cases are that good processes reach out to all stakeholders, share information openly and readily, engage people in meaningful interaction, and attempt to satisfy multiple interest positions. Differences appeared about how strongly to emphasize science and information, how much leadership and direction the process needs, what is the proper behavior of participants, how to tackle issues of power and trust, and what are the outcome-related goals of the process. These results challenge researchers and practitioners to consider the diversity of participant needs in addition to the broad context when conceptualizing or carrying out participatory processes. [source] The Impact of a Multidisciplinary, Integrated Approach on Improving the Health and Quality of Care for Individuals Dealing With Multiple Chronic ConditionsAMERICAN JOURNAL OF ORTHOPSYCHIATRY, Issue 1 2006Christina M. Krause PhD This study examined the effects of using a multidisciplinary, integrated, whole,person, team advocate approach to educate and empower participants with multiple chronic illnesses and coordinate, monitor, and support their health care process. Individuals (N = 39) from Midwest hospitals participated and completed self,report instruments. Changes in participants' functioning were also measured with diagnostic measures completed by the team advocates. The results indicate that the participants' perceptions of physical functioning, physical well,being, control, self,efficacy, and life satisfaction increased. Additionally, health,related behavior changes were reported, and short,term costs were significantly lower than projected costs. Finally, the participants rated their health care services in the program as more effective than previous health care services. [source] | ||||||||||||||||