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Engagement
Kinds of Engagement Terms modified by Engagement Selected AbstractsDEWEYAN DARWINISM FOR THE TWENTY-FIRST CENTURY: TOWARD AN EDUCATIONAL METHOD FOR CRITICAL DEMOCRATIC ENGAGEMENT IN THE ERA OF THE INSTITUTE OF EDUCATION SCIENCESEDUCATIONAL THEORY, Issue 3 2008Deborah Seltzer-Kelly Early in the twentieth century, John Dewey also advocated for a vision of education guided by science, and more recent scholarship has validated many of his ideas. However, as Deborah Seltzer-Kelly argues in this essay, Dewey's vision of a scientifically based system of education was very different from that envisioned by the IES, and also very different from that implied by the progenitor of contemporary evolutionary thought, Donald Campbell. Seltzer-Kelly proposes a Deweyan Darwinist model of educational method as a genuinely scientific alternative to the scientism that pervades current official efforts to imbue education with science. The implications of this model are profound, highlighting the difference between education as preparation for consent to authoritarian structures and education as preparation for genuinely democratic participation. [source] INFECTION CONTROL IN LONG-TERM CARE FACILITIES: THE NEED FOR ENGAGEMENTJOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 3 2009Denise R. Flinn MD No abstract is available for this article. [source] RACE, RELIGION, AND THE CONTRADICTIONS OF IDENTITY: A THEOLOGICAL ENGAGEMENT WITH DOUGLASS's 1845 NARRATIVEMODERN THEOLOGY, Issue 1 2005J. KAMERON CARTER This essay is about identity and the place of religion and theology in how it is thought about and performed. I purse this subject through a theologically informed reading of the 1845 Narrative of the Life of Frederick Douglass. Taking Douglass's Narrative as emblematic of how identity continues to be conceived, I explain what is promising in the close link forged between religion, theology and culture. The promise of Douglass's Narrative resides in the emancipatory politics of race that it produces and the creative use of the theology of Easter in that politics. But I also explore the contradictions arising from that link,in particular, Douglass's oppressive gender politics. To overcome this problem, I conclude the article by pushing Douglass's cultural reading of identity and the Cross in a more robust theological direction, a direction that gestures towards a theology of Israel and of Pentecost. [source] KARL BARTH AND HANS URS VON BALTHASAR, A CRITICAL ENGAGEMENT by Stephen D. WigleyNEW BLACKFRIARS, Issue 1022 2008JOHN D. O'CONNOR OP No abstract is available for this article. [source] DEVELOPMENT ENGAGEMENT WITHIN AND FOLLOWING DEVELOPMENTAL ASSESSMENT CENTERS: CONSIDERING FEEDBACK FAVORABILITY AND SELF,ASSESSOR AGREEMENTPERSONNEL PSYCHOLOGY, Issue 4 2008SANG E. WOO This study sought to understand employees' level of behavioral engagement in response to feedback received in developmental assessment center (DAC) programs. Hypotheses were drawn from theories of self-enhancement and self-consistency and from findings in the multisource feedback and assessment center literatures regarding recipients' perceptions of feedback. Data were gathered from 172 U.S. middle managers participating in a DAC program. Results suggested that more favorable feedback was related to higher behavioral engagement. When discrepancies between self- and assessor ratings were examined, overraters (participants whose overall self-ratings were higher than their assessor ratings) tended to show less engagement in the program compared to underraters. However, pattern agreement on the participant's dimension profile did not significantly correlate with behavioral engagement. Based on these findings, avenues for future research are presented and practical implications are discussed. [source] BENEFICENCE, DETERMINISM AND JUSTICE: AN ENGAGEMENT WITH THE ARGUMENT FOR THE GENETIC SELECTION OF INTELLIGENCEBIOETHICS, Issue 1 2005KEAN BIRCH ABSTRACT In 2001, Julian Savulescu wrote an article entitled ,Procreative Beneficence: Why We Should Select the Best Children', in which he argued for the genetic selection of intelligence in children. That article contributes to a debate on whether genetic research on intelligence should be undertaken at all and, if so, should intelligence selection be available to potential parents. As such, the question of intelligence selection relates to wider issues concerning the genetic determination of behavioural traits, i.e. alcoholism. This article is designed as an engagement in the intelligence selection debate using an analysis of Savulescu's arguments to raise a series of problematic issues in relation to the ethics of parental selection of intelligence. These problematic issues relate to wider assumptions that are made in order to put forward intelligence selection as a viable ethical option. Such assumptions are more generic in character, but still relate to Savulescu's article, concerning issues of genetic determinism, private allocation and inequality, and, finally, individual versus aggregate justice. The conclusion focuses on what the implications are for the question of agency, especially if intelligence selection is allowed. [source] Rules of Engagement for Conservation Lessons from the Democratic Republic of CongoCONSERVATION, Issue 1 2003First page of article [source] On the Scope and Truth of Theology: Theology as Symbolic Engagement , By Robert C. NevilleCONVERSATIONS IN RELIGION & THEOLOGY, Issue 1 2007George Newlands First page of article [source] Engagement in a medium secure personality disorder service: A comparative study of psychological functioning and offending outcomesCRIMINAL BEHAVIOUR AND MENTAL HEALTH, Issue 2 2010Lucy McCarthy Background,Specialist treatment programmes for personality disordered offenders suffer from high rates of non-completion. This has important consequences for service providers and individual patients. Method,Data from hospital records and the Offenders Index were compared for groups of treatment completers (n = 22) and non-completers (n = 59) discharged from a specialist treatment programme. Results,Twenty-seven per cent of patients completed treatment, 37% were expelled for rule breaking and 35% disengaged early from treatment. Psychometric assessments of anger expression and anxiety showed no differences between the groups, however, treatment completers showed lower levels of impulsivity and psychopathy than either of the non-completer groups. Rates of post-discharge offending for grave and standard list offences were 56.8 and 10.8%, respectively. Conclusions,Despite careful selection methods, a large proportion of personality-disordered patients admitted to specialist units failed to complete treatment. Psychometric assessments of anger expression, anxiety and impulsivity showed limited utility in differentiating treatment completers and non-completers. Sample size limitations in this naturalistic follow-up impacted on the interpretation of differences observed between the groups on the primary outcome measure of re-offending after discharge. Copyright © 2010 John Wiley & Sons, Ltd. [source] Local Food, Local Engagement: Community-Supported Agriculture in Eastern IowaCULTURE, AGRICULTURE, FOOD & ENVIRONMENT, Issue 1 2010Brandi Janssen Abstract This paper examines some of the daily realities of operating a Community-Supported Agriculture (CSA) farm in eastern Iowa and addresses the concept of community among growers. Popular depictions of local foods systems often emphasize the close relationships that develop between producers and consumers. This picture, however, may gloss over the necessary complexities of a healthy local food system. CSA has been promoted as a direct marketing strategy for small-scale growers and touted as a way of developing positive relationships between producers and consumers. Nevertheless, it is also important to understand that successful CSA initiatives are often reliant on a broad network of support that includes more than just growers and eaters. Ethnographic descriptions of CSA farms presented here show how involvement by media and other organizations contribute to successful CSAs as well as an overall concept of "civic agriculture." These descriptions also show that access to affordable, reliable labor tends to be among the greatest challenges for CSA growers. [source] Student Knowledge, Engagement, and Voice in Educational Reform1CURRICULUM INQUIRY, Issue 4 2006DENNIS THIESSEN First page of article [source] Social Media's Second Act: Toward Sustainable Brand EngagementDESIGN MANAGEMENT REVIEW, Issue 1 2010Tom Briggs Effective social brands are like friends. You can trust them. You can build a community around them. But once that community begins to reach around the globe, you had better keep it real and you had better respect its personal privacy. [source] Science and Citizens: Globalization and the Challenge of Engagement edited by Melissa Leach, Ian Scoones and Brian WynneDEVELOPMENT AND CHANGE, Issue 5 2006Marléne Buchy No abstract is available for this article. [source] Engagement and retention in specialist services for people with personality disorderACTA PSYCHIATRICA SCANDINAVICA, Issue 4 2009M. J. Crawford Objective:, To quantify levels of engagement and retention in specialist services for people with personality disorder (PD). Method:, Demographic and clinical data were collected on referrals to 10 specialist services for people with PD. Follow-up data on retention and drop-out from services were collected over the following 30 months. Results:, Seven hundred and thirteen (60.1%) of 1186 people referred to services were taken by them, of whom 164 (23.0%) subsequently dropped out prior to the completion of an episode of care. Men, younger people and those with higher levels of personality disturbance were less likely to complete a package of care. Conclusion:, Specialist community-based services for adults with PD are able to engage most of those that are referred to them, but further efforts need to be made to find ways to engage younger people and men with PD. [source] Short-term outcomes after brief ambulatory opioid detoxification with buprenorphine in young heroin usersADDICTION, Issue 4 2003Devang H. Gandhi Abstract Aims, This study examines the outcomes at 1, 3 and 6 months after a very brief outpatient detoxification with buprenorphine in 18,25-year-old heroin users. Design, Prospective follow-up study. Setting, Outpatient drug treatment clinic, providing brief detoxification in downtown Baltimore, Maryland, USA. Participants, One hundred and twenty-three subjects between 18 and 25 years old; 56% male; 95% Caucasian; seeking detoxification; living in Baltimore City and five surrounding counties. Intervention, Detoxification with buprenorphine over 3 days. Follow-up at 1, 3 and 6 months. Measurements, Drug use history, the Addiction Severity Index at baseline and follow-up, urine drug screens, evaluation of the detoxification experience. Findings, By self-report, 37% of the total sample were not currently using heroin at 1 month, 32% at 3 months and 29% at 6 months, and 6.7%, 10.1% and 11.8% had an opioid negative urine test at 1, 3 and 6 months, respectively. There was a significant reduction from the baseline in mean Addiction Severity Index drug use composite score, as well as the mean number of days of heroin and cocaine use during past 30 days, that was sustained over the three follow-up points. Engagement in aftercare was generally poor. Conclusions, The findings show a reduced frequency and intensity of drug use, suggesting a possible role for brief outpatient detoxification in reducing the severity of dependence for some younger heroin users who may not yet be ready to engage in long-term abstinence-oriented or opioid substitution treatments. [source] Patterns in the Civic Knowledge, Engagement, and Attitudes of European Adolescents: The IEA Civic Education StudyEUROPEAN JOURNAL OF EDUCATION, Issue 2 2002Judith Torney-Purta [source] Expression and function of NKG2D in CD4+ T cells specific for human cytomegalovirusEUROPEAN JOURNAL OF IMMUNOLOGY, Issue 12 2006Andrea Sáez-Borderías Abstract The human NKG2D killer lectin-like receptor (KLR) is coupled by the DAP10 adapter to phosphoinositide 3-kinase (PI3,K) and specifically interacts with different stress-inducible molecules (i.e. MICA, MICB, ULBP) displayed by some tumour and virus-infected cells. This KLR is commonly expressed by human NK cells as well as TCR,,+ and TCR,,+CD8+ T lymphocytes, but it has been also detected in CD4+ T cells from rheumatoid arthritis and cancer patients. In the present study, we analysed NKG2D expression in human cytomegalovirus (HCMV)-specific CD4+ T lymphocytes. In vitro stimulation of peripheral blood mononuclear cells (PBMC) from healthy seropositive individuals with HCMV promoted variable expansion of CD4+NKG2D+ T lymphocytes that coexpressed perforin. NKG2D was detected in CD28, and CD28dull subsets and was not systematically associated with the expression of other NK cell receptors (i.e. KIR, CD94/NKG2 and ILT2). Engagement of NKG2D with specific mAb synergized with TCR-dependent activation of CD4+ T cells, triggering proliferation and cytokine production (i.e. IFN-, and TNF-,). Altogether, the data support the notion that NKG2D functions as a prototypic costimulatory receptor in a subset of HCMV-specific CD4+ T lymphocytes and thus may have a role in the response against infected HLA class II+ cells displaying NKG2D ligands. [source] Fc,RII expression on follicular dendritic cells and immunoreceptor tyrosine-based inhibition motif signaling in B,cellsEUROPEAN JOURNAL OF IMMUNOLOGY, Issue 1 2004Yüksel Aydar Abstract Immune complexes (IC) initiate immunoreceptor tyrosine-based inhibition motif (ITIM) signaling and inhibit B,cell activation by coligating B,cell receptor for antigen (BCR) and Fc,RII. Nevertheless, IC on follicular dendritic cells (FDC) stimulate rapid germinal center (GC) B,cell proliferation suggesting that interactions between IC and FDC render IC capable of B,cell activation. Tounderstand this, we studied the kinetics of FDC Fc,RII and complement receptors,1 and,2 (CR1&2) expressions during the GC reaction and determined whether FDC Fc,RII could bind Fc in IC and block ITIM signaling. Mice were immunized with sheep red blood cells (SRBC), and CR1&2 and Fc,RII levels in FDC reticula were monitored. The role of FDC Fc,RII was studied using anti-BCR-stimulated A20 cells. Levels of FDC Fc,RII in spleens of SRBC-injected mice increased within 24,h and were dramatically increased (,50-fold) on days,3 and,5. In contrast, CR1&2 levels increased less than twofold. Addition of normal FDC, but not FDC lacking Fc,RII, reduced and reversed anti-BCR-induced SH2 domain-containing inositol phosphatase (SHIP)-1 phosphorylation in A20 cells. FDC wereable to induce normal recall responses even after overnight incubation of the lymphocytes with IC to stimulate ITIM signaling. Engagement of Ig Fc with numerous Fc,RII on FDC appears to minimize IC-induced ITIM signaling. Thus, rapid up-regulation of FDC Fc,RII may explain why poorly immunogenic IC are rendered highly immunogenic when presented by FDC in GC. [source] Relational Factors and Family Treatment Engagement among Low-Income, HIV-Positive African American MothersFAMILY PROCESS, Issue 1 2003Victoria B. Mitrani Ph.D. Clinically derived hypotheses regarding treatment engagement of families of low-income, HIV-positive, African American mothers are tested using univariate and multivariate logistic regression models. Predictors are baseline family relational factors (family support, mother's desire for involvement with family, and family hassles) and mother's history of substance dependence. The study examines a subsample of 49 mothers enrolled in a clinical trial testing the efficacy of Structural Ecosystems Therapy (SET). SET is a family-based intervention intended to relieve and prevent psychosocial distress associated with HIV/AIDS. Participants in the subsample were randomly assigned to SET and attended at least two therapy sessions. Findings reveal that family relational factors predicted family treatment engagement (family support, p < 004; mother's desire for involvement with family, p < 008; family hassles, p < 027). Family support predicted family treatment engagement beyond the prediction provided by the other relational factors and the mother's own treatment engagement (p < 016). History of substance dependence was neither associated with family treatment engagement nor family support. Post hoc analyses revealed that family hassles (p < 003) and mother's desire for involvement with family (p < 018) were differentially related to family treatment engagement in low-versus high-support families. Implications for clinical practice and future research are discussed. [source] Ist die deutsche Hochschulmedizin so schlecht wie ihr Ruf?FORSCHUNG, Issue 3 2006Jürgen Schölmerich Prof. Dr. Der Klinischen Forschung fehlen mehr Respekt für das Engagement des Nachwuchses, längerfristige Karrierechancen, größere Transparenz bei der Mittelzuweisung [source] '...Mit Der Verjudung Des Deutschen Theaters Ist Es Night So Schimm!' Ein Kritischer Rückblick Auf Die Karriere Der Literaturwissenschaftlerin Elisabeth FrenzelGERMAN LIFE AND LETTERS, Issue 1 2001Florian Radvan Seitüber vierzig Jahren gilt Elisabeth Frenzel als Autorin geschätzter und bewährter Nachschlagewerke. Besonders die Daten deutscher Dichtung, die sie , gemeinsam mit Herbert A. Frenzel , in u¨ ber dreißig Auflagen betreut hat, sind zu einem Standardwerk avanciert. Weniger bekannt als diese Veröffentlichungen ist allerdings die Autorin selbst: Ihre Karriere, die unter dem Hakenkreuz begann, ist ein Schulbeispiel für ideologische Verblendung und Preisgabe der Wissenschaft im Dienst einer totalitären Doktrin. Der vorliegende Artikel zeigt auf, wie Frenzel sich ab 1933 als antisemitische Theaterhistorikerin profilierte und bis Kriegsende in zahllosen Publikationen jüdische Theaterleute denunzierte, ihre darstellerischen Leistungen herabwürdigte und die dramatischen Werke von Juden schmähte. Von einer fachwissen-schaftlichen Warte aus trug sie so , mit ihren linientreuen Schriften , zur weiteren Verbreitung des Antisemitismus und letztlich auch zur Stabilisierung des Regimes bei. Die parteiamtlichen Organisationen (insbesondere das ,Amt Rosenberg') dankten ihr dieses Engagement, indem sie Frenzel zum Teil leitende Positionen antrugen. Die Beobachtung, daß Frenzel nach 1945 als vielgepriesene Handbuch-Autorin reüssieren konnte, ihr vormaliger Judenhaß allerdings weitgehend unbe-merkt oder unkommentiert blieb, schließt den vorliegenden Artikel ab. [source] Fair and Just Culture, Team Behavior, and Leadership Engagement: The Tools to Achieve High ReliabilityHEALTH SERVICES RESEARCH, Issue 4p2 2006Allan S. Frankel Background. Disparate health care provider attitudes about autonomy, teamwork, and administrative operations have added to the complexity of health care delivery and are a central factor in medicine's unacceptably high rate of errors. Other industries have improved their reliability by applying innovative concepts to interpersonal relationships and administrative hierarchical structures (Chandler 1962). In the last 10 years the science of patient safety has become more sophisticated, with practical concepts identified and tested to improve the safety and reliability of care. Objective. Three initiatives stand out as worthy regarding interpersonal relationships and the application of provider concerns to shape operational change: The development and implementation of Fair and Just Culture principles, the broad use of Teamwork Training and Communication, and tools like WalkRounds that promote the alignment of leadership and frontline provider perspectives through effective use of adverse event data and provider comments. Methods. Fair and Just Culture, Teamwork Training, and WalkRounds are described, and implementation examples provided. The argument is made that they must be systematically and consistently implemented in an integrated fashion. Conclusions. There are excellent examples of institutions applying Just Culture principles, Teamwork Training, and Leadership WalkRounds,but to date, they have not been comprehensively instituted in health care organizations in a cohesive and interdependent manner. To achieve reliability, organizations need to begin thinking about the relationship between these efforts and linking them conceptually. [source] Protestation, Vow, Covenant and Engagement: swearing allegiance in the English Civil WarHISTORICAL RESEARCH, Issue 190 2002Edward Vallance This article discusses four political tests imposed between 1641 and 1649. Using printed pamphlets and manuscript oath rolls, the article explores both the guidelines established by casuists and pamphleteers for swearing lawfully, and the responses of individual subscribers when confronted with conflicting demands for their political allegiance. In this way, the article demonstrates the importance of subscription returns as a source for political historians, as well as genealogists and demographic researchers. The article concludes that individuals often chose to equivocate or to refuse oaths, not because they found them politically unacceptable, but because they were afraid of forswearing themselves. [source] Community Storytelling Network, Neighborhood Context, and Civic Engagement: A Multilevel ApproachHUMAN COMMUNICATION RESEARCH, Issue 4 2006Yong-Chan Kim From a communication infrastructure theory perspective, the current study examined individuals' civic engagement (neighborhood belonging, collective efficacy, and civic participation) as influenced by 2 multilevel components of the communication infrastructure,an integrated connectedness to a storytelling network (ICSN) and the residential context,focusing on ethnic heterogeneity and residential stability. Our multilevel analyses show that ICSN is the most important individual-level factor in civic engagement,neighborhood belonging, collective efficacy, and civic participation,after controlling for other individual-level and neighborhood-level factors. In both ethnically homogeneous and heterogeneous areas and in both stable and unstable areas, ICSN is an important factor in civic engagement. As contextual factors, residential stability positively affects neighborhood belonging and collective efficacy, and ethnic heterogeneity is negatively related to collective efficacy. Our data do not show any direct contextual effects of residential stability or ethnic heterogeneity on civic participation. However, our HLM analysis showed that the relative importance of ICSN for the likelihood of participation in civic activities is significantly higher in unstable or ethnically heterogeneous areas than in stable or ethnically homogeneous areas. [source] Rethinking the Personal and the Political: Feminist Activism and Civic EngagementHYPATIA, Issue 4 2007THERESA MAN LING LEE The slogan "the personal is political" captures the distinctive challenge to the public-private divide posed by contemporary feminists. As such, feminist activism is not necessarily congruent with civic engagement, which is predicated on the paradoxical need to both bridge and sustain the public-private divide. Lee argues that rather than subverting the divide, the politics of the personal offers an alternative understanding of civic engagement that aims to reinstate individuals' dignity and agency. [source] Engagement of the CD137 (4-1BB) costimulatory molecule inhibits and reverses the autoimmune process in collagen-induced arthritis and establishes lasting disease resistanceIMMUNOLOGY, Issue 1 2004Juergen L. Foell Summary Agonistic antibodies against CD137 act as costimulators in the activation of CD8 T cells. They enhance the immune response against syngeneic tumour grafts and suppress T cell-dependent humoral immune responses in vivo. The present study was undertaken to determine whether suppression of antibody production by anti-CD137 mAb affects the development of collagen-induced arthritis (CIA). Male DBA/1J mice were immunized with bovine collagen II (CII) and treated with an agonistic anti-CD137 mAb or an isotype-matched control mAb. Mice were assessed regularly for macro- and microscopic signs of arthritis and for the appearance of collagen-specific antibody production. Interferon (IFN)-, determination, FACS analysis of splenocytes and histopathological joint examinations were performed after the animals were killed. Administration of anti-CD137 mAb at the time of collagen immunization blocked the development of disease and inhibited the humoral immune response against CII. Agonistic anti-CD137 mAb exhibited therapeutic efficacy even after the immune response to CII had succeeded and the disease became apparent. Furthermore, it induced a protective memory in the animals, enabling resistance to subsequent challenges with the pathogenic antigen. Our results suggest a key role for CD137 in the pathogenesis of CIA. This model provides insights into immunoregulatory conditions that control the pathogenesis of autoimmune diseases. [source] The Meaning of Employee EngagementINDUSTRIAL AND ORGANIZATIONAL PSYCHOLOGY, Issue 1 2008WILLIAM H. MACEY The meaning of employee engagement is ambiguous among both academic researchers and among practitioners who use it in conversations with clients. We show that the term is used at different times to refer to psychological states, traits, and behaviors as well as their antecedents and outcomes. Drawing on diverse relevant literatures, we offer a series of propositions about (a) psychological state engagement; (b) behavioral engagement; and (c) trait engagement. In addition, we offer propositions regarding the effects of job attributes and leadership as main effects on state and behavioral engagement and as moderators of the relationships among the 3 facets of engagement. We conclude with thoughts about the measurement of the 3 facets of engagement and potential antecedents, especially measurement via employee surveys. [source] On the Skilled Aspect of Employee EngagementINDUSTRIAL AND ORGANIZATIONAL PSYCHOLOGY, Issue 1 2008MICHAEL J. BURKE [source] Young People, Photography and EngagementINTERNATIONAL JOURNAL OF ART & DESIGN EDUCATION, Issue 2 2003Nick Stanley Over ten years research into photography and education has been undertaken at Birmingham Institute of Art and Design in collaboration with the Arts Council of England, West Midlands Arts, and local community photography agencies. A range of case studies were undertaken to explore how young people used photography, particularly in self-empowerment. These ranged from students in Further Education challenging concepts of visual stereotypes of disability, young lesbian, gay and bisexual people constructing their own website, and individuals and groups creating and modifying their own images in a shopping centre. A democratic action research methodology was developed to enable the young people to establish their own agenda and generate standards for evaluating their work. A particular feature of the later research was a self-reflective journal that was shared between the researcher and everyone engaged in the project. This resource has considerable potential in photography and elsewhere in art and design education. [source] The impact of personal characteristics on engagement in nursing home residents with dementiaINTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY, Issue 7 2009Jiska Cohen-Mansfield Abstract Objective To examine the impact of personal attributes on engagement in persons with dementia. Methods Participants were 193 residents of seven Maryland nursing homes. All participants had a diagnosis of dementia. Cognitive functioning was assessed via the Mini-Mental State Examination, and engagement was assessed via the Observational Measure of Engagement. Data pertaining to activities of daily living were obtained from the Minimum Data Set. Results Women had longer mean engagement duration than men, and significant results were not seen with the other demographic variables. Significant, positive correlations were found between higher cognitive functioning and longer engagement duration, more attention, a more positive attitude, and a higher refusal rate. There was a positive and significant correlation between the comorbidity index and engagement duration, and between the number of medications and attention. All functional status variables yielded significance in a positive direction. Participants with poor hearing had a higher refusal rate. Cognitive status was the most consistent and potent predictor of engagement in this population. Conclusion Despite a higher refusal rate among those with higher cognitive levels, their overall engagement with stimuli is higher. Caregivers should anticipate higher refusal rates in those with poor hearing, and therefore compensatory methods should be used in presenting stimuli in this population. The potent role of cognitive and functional status on engagement of persons with dementia underscores the importance of tailoring activities to nursing home residents' needs, interests, and limitations. Copyright © 2009 John Wiley & Sons, Ltd. [source] | ||||||||||||||||||||||||||||||||||||||||||||||