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Framework Approach (framework + approach)
Selected AbstractsSmoking-based selection and influence in gender-segregated friendship networks: a social network analysis of adolescent smokingADDICTION, Issue 7 2010Liesbeth Mercken ABSTRACT Aims The main goal of this study was to examine differences between adolescent male and female friendship networks regarding smoking-based selection and influence processes using newly developed social network analysis methods that allow the current state of continuously changing friendship networks to act as a dynamic constraint for changes in smoking behaviour, while allowing current smoking behaviour to be simultaneously a dynamic constraint for changes in friendship networks. Design Longitudinal design with four measurements. Setting Nine junior high schools in Finland. Participants A total of 1163 adolescents (mean age = 13.6 years) who participated in the control group of the ESFA (European Smoking prevention Framework Approach) study, including 605 males and 558 females. Measurements Smoking behaviour of adolescents, parents, siblings and friendship ties. Findings Smoking-based selection of friends was found in male as well as female networks. However, support for influence among friends was found only in female networks. Furthermore, females and males were both influenced by parental smoking behaviour. Conclusions In Finnish adolescents, both male and female smokers tend to select other smokers as friends but it appears that only females are influenced to smoke by their peer group. This suggests that prevention campaigns targeting resisting peer pressure may be more effective in adolescent girls than boys. [source] Disentangling social selection and social influence effects on adolescent smoking: the importance of reciprocity in friendshipsADDICTION, Issue 9 2007Liesbeth Mercken ABSTRACT Aims The goal of this study was to examine social selection and social influence within reciprocal and non-reciprocal friendships, and the role of parents and siblings, as factors explaining similarity of smoking behaviour among adolescent friends. A new social selection,social influence model is proposed. Design Longitudinal design with two measurements. Setting Data were gathered among Dutch high school students in the control group of the European Smoking prevention Framework Approach (ESFA) study. Participants The sample consisted of 1886 adolescents with a mean age of 12.7 years. Measurements The main outcome measures were the smoking behaviours of the respondents, best friends, parents and siblings. We tested the social selection,social influence model with structural equation modelling techniques. Findings Social selection and social influence both played an important role in explaining similarity of smoking behaviour among friends. Within non-reciprocal friendships, only social selection explained similarity of smoking behaviour, whereas within reciprocal friendships, social influence and possibly also social selection explained similarity of smoking behaviour. Sibling smoking behaviour was a more important predictor of adolescent smoking behaviour than parental smoking behaviour. Conclusions Social selection and social influence both promote similarity of smoking behaviour, and the impact of each process differs with the degree of reciprocity of friendships. These insights may contribute to further refinement of smoking prevention strategies. [source] Factors affecting uptake of an education and physical activity programme for newly diagnosed type 2 diabetesEUROPEAN DIABETES NURSING, Issue 1 2008MPH Postgraduate Research Associate, S Visram BA Hons Abstract Background: Intensive lifestyle intervention involving weight reduction and moderate physical activity has been shown to help regulate, and even prevent, type 2 diabetes. Aim: This study sought to explore factors affecting uptake of an education and physical activity programme for those diagnosed with type 2 diabetes. Method: Focus group discussions were conducted with individuals who completed the programme and semi-structured interviews were conducted with those who declined the invitation to attend. Data were analysed using a thematic framework approach and key similarities and differences between the groups were identified. Results: The 11 programme participants studied appeared to have received clearer messages about the severity of unmanaged diabetes, whereas the 10 non-attenders studied felt that co-morbidities posed greater risks to their health. There were major concerns among both groups about undertaking exercise, and strategies for diabetes management focused heavily on dietary modification. Conclusion: The findings of this study suggest that fears and lack of understanding about both diabetes and exercise can act as barriers to engaging in physical activity. These findings are supported by the literature and highlight the need for more tailored programmes of lifestyle intervention for those with type 2 diabetes. Copyright © 2008 FEND [source] Subjective pain experience of people with chronic back painPHYSIOTHERAPY RESEARCH INTERNATIONAL, Issue 4 2000Professor Lorraine H De Souza Chair of Rehabilitation Abstract Background and Purpose Studies into the effect of pain experience on those who have it have largely focused on the views and interpretations of researchers gained by the use of assessment tools aimed at measuring pain. The purpose of this study was to explore and describe pain, as experienced by those with chronic back pain, and to document ,insider' accounts of how pain is perceived and understood by those who have it. Method Unstructured interviews using the framework approach. Subjects were sampled for age, sex, ethnicity and occupation, from new referrals with back pain to a rheumatology outpatient clinic. Eleven subjects (5 M; 6 F) agreed to be interviewed. Interviews were unstructured, but followed a topic guide. Subjects were interviewed in English (nine) or their preferred language (two). Tape-recordings of interviews were transcribed verbatim and read in depth twice to identify the topics or concepts. Data were extracted in the form of words and phrases by use of thematic content analysis. The themes were pain description and amount of pain. An independent researcher reviewed the data and confirmed or contended the analysis. Results All subjects, except one, provided descriptors of the quality of their pain. The use of simile was common to emphasize both what the pain was, and what it was not. Five subjects expressed a loss of words in trying to describe their pain. Only 13 of 29 different pain descriptors used were commensurate with those in the McGill Pain Questionnaire (Melzack, 1983). Subjects had great difficulty quantifying their pain intensity. Several explained how the pain fluctuated, thus, quantifying pain at one point in time was problematic. Only one subject offered a numerical description of pain intensity. Conclusions Subjects provided graphic and in-depth descriptions of their pain experience, but these bore little resemblance to commonly used assessment tools. The findings challenge the appropriateness of such formal instruments. Copyright © 2000 Whurr Publishers Ltd. [source] The National Integrity System: assessing corruption and reformPUBLIC ADMINISTRATION & DEVELOPMENT, Issue 4 2003Alan Doig This article builds on a Transparency International (TI)-sponsored research study funded by the Dutch Government into the National Integrity System (NIS) in practice. The NIS is a framework approach developed by TI that proposes assessing corruption and reform holistically. The NIS not only looks at separate institutions or separate areas of activity or separate rules and practices, but also bases its perspective on institutional and other inter-relationships, inter-dependence and combined effectiveness. The study involved 18 countries, using in-country researchers and an overview report. This article assesses the findings of the study to consider how the approach can work in practice, and what the approach can reveal about the causes and nature of corruption as well as the implications for reform. Copyright © 2003 John Wiley & Sons, Ltd. [source] Practical assessment of project performance: the ,potential impact' approach,PUBLIC ADMINISTRATION & DEVELOPMENT, Issue 5 2000Michael Hubbard This article sets out an approach to assessing project performance, using ,potential impact' of the project. Its purpose is to assist project design and evaluation. In project design, potential impacts of alternative activities on the project objective are compared, in order to select activities with the greatest impact. In project evaluation, potential and actual impacts of a project are compared. Additional benefits of the approach are that it indicates ,value for money' of development assistance invested in projects, and easier tracing of reasons for underachievement in projects to weaknesses in their design or management. Limitations are that it relies on informed judgement of the planners or evaluators and the categories for rating performance may unavoidably be broad. It complements the logical framework approach by providing a practical design and evaluation tool. Copyright © 2000 John Wiley & Sons, Ltd. [source] | ||||||||||