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Self-monitoring
Kinds of Self-monitoring Selected AbstractsSelf-Monitoring and Performance Appraisal Satisfaction: An Exploratory Field StudyHUMAN RESOURCE MANAGEMENT, Issue 4 2001Janice S. Miller Members of 12 project teams in five organizations participated in a study that assessed their self-monitoring characteristics and level of satisfaction with their performance appraisal system. Overall, taking part in self-ratings and upward appraisals of team leaders was associated with greater levels of appraisal satisfaction than was participating in peer evaluations. Self-monitoring level was negatively associated with appraisal satisfaction after controlling for level of ratings generated by peers, self, and leader. The paper discusses results, and offers practical implications in light of the social and interpersonal context that surrounds performance evaluation. © 2001 John Wiley & Sons, Inc. [source] Self-Monitoring: Individual Differences in Orientations to the Social WorldJOURNAL OF PERSONALITY, Issue 3 2006Christopher Leone ABSTRACT In their articles in this special section of the Journal of Personality, the authors have focused their attention on the role of individual differences in self-monitoring for a variety of interpersonal phenomena. In so doing, the authors have provided an overview of the theoretical and empirical contributions of the psychology of self-monitoring to the domains of interest: close relationships, consumer behavior, behavior in the workplace, and social interaction. As each of the contributing authors to this special section suggests, much more theoretical and empirical work is in order if the impact of individual differences in self-monitoring for the phenomena reviewed here is to be fully appreciated. Moreover, the four domains of interest represented in this special section by no means exhaust the areas to which theorists and researchers have applied or can apply the psychology of individual differences in self-monitoring. Given the large nomological network that currently exists involving the self-monitoring construct, it is anticipated that the breadth and depth of applications of the psychology of self-monitoring will only continue to expand as it has in the last 30 years since the appearance of the construct in the literature. [source] Self-monitoring of blood glucose in type-2 diabetes: what is the evidence?DIABETES/METABOLISM: RESEARCH AND REVIEWS, Issue 6 2007Grace McGeoch Abstract Background There is a controversy about self-monitoring of blood glucose (SMBG) in patients with type 2 diabetes who are not using insulin. Randomized trials are limited in duration, size, and validity. Methods Systematic search for randomized trials and observational studies published since 1990. For inclusion studies had to report on SMBG in type 2 diabetes managed with oral hypoglycaemic agents and/or diet alone, HbA1c or clinical outcome, have at least 50 patients and be of at least 6 months' duration. Results Three randomized trials with 1000 patients were included, though all had interventions differing in the amount of education on SMBG, and in the population studied. The two larger studies had statistically significantly lower HbA1c levels with SMBG. Thirteen observational studies had information on over 60 000 patients. Smaller studies had lower initial HbA1c and showed no association between SMBG and laboratory or clinical improvement. Larger studies tended to have higher initial HbA1c and did show an association between SMBG and laboratory or clinical improvement. Overall, improvement in glycaemic control with SMBG tended to be seen in studies with initial HbA1c above 8%. Conclusions It is likely that SMBG is beneficial in some circumstances, for example as an educational tool, for patients with type 2 diabetes not using insulin who have poor glycaemic control. More information is needed at the level of the individual patient, rather than group means, and about timing and frequency of monitoring, response to those results, what constitutes effective patient education, and long-term clinical outcomes. Copyright © 2007 John Wiley & Sons, Ltd. [source] Self-monitoring of blood glucose in children and teens with diabetesPEDIATRIC DIABETES, Issue 1 2005Helen Bui Abstract:, Improved metabolic control has unequivocally been demonstrated to delay the onset and slow the progression of microvascular complications in adolescents and adults with diabetes mellitus. Growing evidence also supports the association of tighter glucose control and more frequent blood glucose monitoring. Therefore, self-monitoring of blood glucose (SMBG) has become a fundamental part of diabetes care in children. Here, we review recent advances and ongoing trends in glucose monitoring in children with diabetes. Technologies have been developed to improve patient compliance with recommended monitoring, requiring less blood, involving less pain, and providing results more quickly. Alternate-site testing (AST) is also a potential means of improving patient compliance with SMBG by avoiding the sensitive fingertip area. The Continuous Glucose Monitoring System (CGMS) and the GlucoWatch® Biographer are two recent tools that can track glucose levels continuously. However, inconsistency in their accuracy and precision remain challenges when using these technologies to guide management. [source] Self-monitoring of blood glucose; frequency, determinants and self-adjustment of treatment in an adult Swedish diabetic populationPRACTICAL DIABETES INTERNATIONAL (INCORPORATING CARDIABETES), Issue 5 2001Utilisation, determinants of SMBG Abstract Objective To analyse the utilisation of self-monitoring of blood glucose (SMBG) among adult diabetic subjects. Methods A cross-sectional study with a standardized interview, a physical examination, and an evaluation of medical records comprising all known diabetic subjects living in six defined primary health care districts in southern Sweden. Of 1861 identified subjects aged >25 years, 90.1% participated. Mean age was 66±0.4,yrs; 94% were diagnosed ,30,yrs, and 70.4% were not gainfully employed. Results SMBG was used by 36.3% of all subjects (20.5% regularly, 15.8% sporadically). In 51.8% of cases regularly performing SMBG the results were used for self-adjustment of treatment (SAT). In multiple logistic regression analysis SMBG was related to awareness of illness (OR [95% CI]; 2.64[1.59,4.40]), treatment with insulin (2.52 [1.92,3.29]), and inversely related to age (50,69,yrs; 0.70[0.50,0.99], >70,yrs; 0.40[0.28,0.59]). The strongest independent influence on SAT based on SMBG results was awareness of illness (3.42[1.74,6.74]), followed by duration >10,yrs (1.74[1.28,2.38]), and there was an inverse relation to a multiple disease pattern in terms of cardiocerebrovascular disease and age. Living conditions, social position, or treatment location were not evidently related to SMBG or SAT. Conclusions A large proportion of adult individuals does not use SMBG regularly. Regular SMBG performers do not use it for SAT, and thus the use is not optimized for achieving good glycaemic control and especially with regard to awareness of illness. Copyright © 2001 John Wiley & Sons, Ltd. [source] A randomized trial of behavioral management for continence with older rural women,RESEARCH IN NURSING & HEALTH, Issue 1 2002Molly C. Dougherty Abstract Urinary incontinence (UI) is a commonly underreported and underdiagnosed condition. The purpose of this trial was to implement and evaluate behavioral management for continence (BMC), an intervention to manage symptoms of UI with older rural women in their homes. Participants were randomized into BMC or a control group, and 178 were followed for between 6 and 24 months. The intervention involved self-monitoring, bladder training, and pelvic muscle exercise with biofeedback. The primary outcome variable,severity of urine loss,was evaluated by pad test. Secondary variables were episodes of urine loss, micturition frequency, voiding interval, quality of life, and subjective report of severity. Urine loss severity at baseline evaluation was not significantly different in the two groups. But using the generalized linear mixed model analysis, at the four follow-ups, severity of urine loss, episodes of urine loss, quality of life, and subjective report of severity were significantly different. At 2 years the BMC group UI severity decreased by 61%; the control group severity increased by 184%. Self-monitoring and bladder training accounted for most of the improvement. The results support the use of simple strategies based on bladder diaries before implementing more complex treatments. © 2002 John Wiley & Sons, Res Nurs Health 25:3,13, 2002. [source] Computer aided self-monitoring to increase academic production and reduce self-injurious behavior in a child with autismBEHAVIORAL INTERVENTIONS, Issue 3 2009Denise A. Soares Self-monitoring to increase the on-task behavior of students with learning disabilities has been the focus of numerous studies in the literature. This study examined the effectiveness of computer aided self-monitoring of academic task completion to reduce self-injurious behavior in a 13-year-old male student with autism. Using an ABAB design, data were collected over 22 sessions in a resource-reading classroom. Visual and statistical analyses indicated that when self-monitoring of activity completion was implemented, rates of completion increased and maladaptive behaviors such as self-injurious behavior and tantruming decreased. Discussion follows for implications for self-monitoring with students with autism. Copyright © 2009 John Wiley & Sons, Ltd. [source] Self glucose monitoring and physical exercise in diabetesDIABETES/METABOLISM: RESEARCH AND REVIEWS, Issue S1 2009G. Pugliese Abstract Cardiorespiratory fitness, which is determined mainly by the level of physical activity, is inversely related to mortality in the general population as well as in subjects with diabetes, the incidence of which is also increased by low exercise capacity. Exercise is capable of promoting glucose utilization in normal subjects as well as in insulin-deficient or insulin-resistant diabetic individuals. In diabetic subjects treated with insulin or insulin secretagogues, exercise may also result in complications, with too much insulin causing hypoglycaemia and not enough insulin leading to hyperglycaemia and possibly ketoacidosis; both complications may also occur several hours after exercise. Therefore, self-monitoring of blood glucose before, during (for exercise duration of more than 1 h) and after physical exercise is highly recommended, and also carbohydrate supplementation may be required. In the Italian Diabetes Exercise Study (IDES), measurement of blood glucose and systolic and diastolic blood pressure levels before and after supervised sessions of combined (aerobic + resistance) exercise in type 2 diabetic subjects with the metabolic syndrome showed significant reductions of these parameters, though no major hypoglycaemic or hypotensive episode was detected. The extent of reduction of blood glucose was related to baseline values but not to energy expenditure and was higher in subjects treated with insulin than in those on diet or oral hypoglycaemic agents (OHA). Thus, supervised exercise training associated with blood glucose monitoring is an effective and safe intervention to decrease blood glucose levels in type 2 diabetic subjects. Copyright © 2009 John Wiley & Sons, Ltd. [source] Self-monitoring of blood glucose in type-2 diabetes: what is the evidence?DIABETES/METABOLISM: RESEARCH AND REVIEWS, Issue 6 2007Grace McGeoch Abstract Background There is a controversy about self-monitoring of blood glucose (SMBG) in patients with type 2 diabetes who are not using insulin. Randomized trials are limited in duration, size, and validity. Methods Systematic search for randomized trials and observational studies published since 1990. For inclusion studies had to report on SMBG in type 2 diabetes managed with oral hypoglycaemic agents and/or diet alone, HbA1c or clinical outcome, have at least 50 patients and be of at least 6 months' duration. Results Three randomized trials with 1000 patients were included, though all had interventions differing in the amount of education on SMBG, and in the population studied. The two larger studies had statistically significantly lower HbA1c levels with SMBG. Thirteen observational studies had information on over 60 000 patients. Smaller studies had lower initial HbA1c and showed no association between SMBG and laboratory or clinical improvement. Larger studies tended to have higher initial HbA1c and did show an association between SMBG and laboratory or clinical improvement. Overall, improvement in glycaemic control with SMBG tended to be seen in studies with initial HbA1c above 8%. Conclusions It is likely that SMBG is beneficial in some circumstances, for example as an educational tool, for patients with type 2 diabetes not using insulin who have poor glycaemic control. More information is needed at the level of the individual patient, rather than group means, and about timing and frequency of monitoring, response to those results, what constitutes effective patient education, and long-term clinical outcomes. Copyright © 2007 John Wiley & Sons, Ltd. [source] Recent advances in treatment of youth with Type 1 diabetes: better care through technologyDIABETIC MEDICINE, Issue 11 2001W. V. Tamborlane Abstract While treatment of Type 1 diabetes mellitus (T1DM) in children and adolescents is especially difficult, recent technological advances have provided new therapeutic options to clinicians and patients. The urgency to achieve strict diabetes control and the introduction of new and improved insulin pumps have been accompanied by a marked increase in use of continuous subcutaneous insulin infusion (CSII) therapy in youth with diabetes. Results of clinical outcome studies indicate that CSII provides a safe and effective alternative to multiple daily injection (MDI) therapy, even when employed in a regular clinic setting in a large number of children. The safety and efficacy of CSII is further enhanced by the introduction of lispro and aspart insulin. The sharper peaks and shorter duration of action of these very rapid-acting insulin analogues provides a means to achieve better control of post-prandial hyperglycaemia with less late post-prandial and nocturnal hypoglycaemia. Glargine insulin, a soluble and essentially peakless long-acting insulin analogue, may provide a better basal insulin for MDI regimens, but there are limited published data with this agent in children with T1DM. A number of systems for pulmonary delivery of insulin are in development and preliminary results of Phase III studies have been promising. Like CSII, inhaled insulin allows the child to take bolus insulin doses before each meal without having to take a premeal injection. A major obstacle to effective treatment is that self-monitoring of three to four blood glucose levels a day often misses the marked glycaemic excursions that characterize T1DM in young patients. On the other hand, new continuous glucose sensing systems provide a wealth of data that can be used to optimize basal and bolus therapy, regardless of how insulin is administered. Even more important, we may finally be at the threshold of development of a practically applicable artificial pancreas. Diabet. Med. 18, 864,870 (2001) [source] Self-monitoring in Type 2 diabetes mellitus: a meta-analysisDIABETIC MEDICINE, Issue 11 2000S. Coster SUMMARY Aims Self-monitoring of blood or urine glucose is widely used by subjects with Type 2 diabetes mellitus. This study evaluated the effectiveness of the technique at improving blood glucose control through a systematic review and meta-analysis. Methods Randomized controlled trials were identified that compared the effects of blood or urine glucose monitoring with no self-monitoring, or blood glucose self-monitoring with urine glucose self-monitoring, on glycated haemoglobin as primary outcome in Type 2 diabetes. Results , Eight reports were identified. These were rated for quality and data were abstracted. The mean (sd) quality score was 15.0 (1.69) on a scale ranging from 0 to 28. No study had sufficient power to detect differences in glycated haemoglobin (GHb) of less than 0.5%. One study was excluded because it was a cluster randomized trial of a complex intervention and one because fructosamine was used as the outcome measure. A meta-analysis was performed using data from four studies that compared blood or urine monitoring with no regular monitoring. The estimated reduction in GHb from monitoring was ,0.25% (95% confidence interval ,0.61 to 0.10%). Three studies that compared blood glucose monitoring with urine glucose monitoring were also combined. The estimated reduction in GHb from monitoring blood glucose rather than urine glucose was ,0.03% (,0.52 to 0.47%). Conclusions The results do not provide evidence for clinical effectiveness of an item of care with appreciable costs. Further work is needed to evaluate self-monitoring so that resources for diabetes care can be used more efficiently. [source] Evaluation of a holistic treatment and teaching programme for patients with Type 1 diabetes who failed to achieve their therapeutic goals under intensified insulin therapyDIABETIC MEDICINE, Issue 9 2000U. Bott SUMMARY Aims To evaluate a treatment and teaching programme including psychosocial modules for patients with Type 1 diabetes mellitus on intensified insulin therapy who failed to achieve their treatment goals despite participation in standard programmes. Methods The 5-day inpatient programme comprises small groups of 4,6 patients, focusing on individual needs and problems. Beyond the teaching lessons (most topics are deliberately chosen by the patients), the programme provides intensive group discussions and offers individual counselling concerning motivational aspects, psychosocial problems and coping strategies. Of the first consecutive 83 participants, 76 were re-examined after 17.5 ± 5.5 months (range 9,31 months). Results At follow-up, HbA1c was not improved compared to baseline (8.0 ± 1.3% vs. 8.1 ± 1.5%). However, the incidence of severe hypoglycaemia per patient/year (glucose i.v., glucagon injection) was substantially decreased: 0.62 ± 1.5 episodes at baseline compared to 0.16 ± 0.9 at follow-up (P < 0.001). Twenty-six per cent of the patients at baseline, and 4% at re-examination had experienced at least one episode of severe hypoglycaemia during the preceding year (P < 0.001). Sick leave days per patient/year decreased from 17.0 ± 38.5,7.7 ± 13.6 days (P < 0.05). Patients improved their perceptions of self-efficacy, their relationship to doctors and felt less externally controlled (P < 0.001). The majority of patients perceived an improved competence regarding diet (80.6%) and adaptation of insulin dosage (82.4%), an improved knowledge (82.2%), and a renewed motivation for the treatment (84.5%). Treatment success was significantly associated with baseline HbA1c, stability of motivation, frequency of blood glucose self-monitoring, control beliefs and change in subsequent outpatient care. Conclusions The programme improved glycaemic control mainly as a result of a substantial reduction in the incidence of severe hypoglycaemia. Patients with persistent poor glycaemic control may benefit from structured follow-up care focusing on motivational aspects of self-management and psychosocial support. [source] Spenser's Magic, or Instrumental Aesthetics in the 1590 Faerie QueeneENGLISH LITERARY RENAISSANCE, Issue 2 2006Genevieve Guenther This essay historically contextualizes and analyzes the literary aesthetic Spenser develops in the 1590 Faerie Queene to the end of fashioning his reader in virtuous discipline. Spenser is influenced by Sidney's claim that the metaphysical ideas of virtue conveyed in beautiful poetic images inspire the reader to emulation, but I argue that his epistemology is also affected by the Protestant critique of Neoplatonism and by early modern moral psychology, both of which hold that demons can place deceiving images directly into the subject's imagination. In light of this perceived danger, Spenser develops an "instrumental aesthetics of wonder," whereby the reader is inspired at once to love the beauty of ideas of virtue and to doubt the provenance of their images in his mind's eye. The aesthetics of wonder are instrumental to the end of fashioning the reader, because the reader's wonder over his own imagination enacts the inward-looking self-monitoring that characterizes Spenser's disciplined subject. And the episodes representing demonic magic in the 1590 Faerie Queene most produce this instrumental aesthetic effect, for Spenser represents magic with verse so artfully ambiguous that it becomes impossible for the reader to decide whether the pictures in his mind's eye are poetic or demonic, or both. [source] Long-term outcomes after a structured hypertension education programme for patients with diabetes and hypertensionEUROPEAN DIABETES NURSING, Issue 2 2005B Osterbrink Nurse Teacher, Diabetes Counsellor, Principal of the Academy of Health Professions Abstract A structured hypertension treatment and education programme (HTEP) was developed in the Düsseldorf area in the 1990s for patients with diabetes mellitus and hypertension and was found to be effective in a randomised controlled trial. The German Association of Diabetes Education and Counselling Professions (VDBD) implemented the HTEP all over Germany in order to optimise the care of patients with diabetes and hypertension. The objectives of the HTEP are to enable patients to gain knowledge of hypertension, to participate actively in their treatment to improve blood pressure (BP) and metabolic control and to self-measure their BP. The implementation consisted of two stages. The first stage comprised the training of 312 diabetes counsellors (DCs). During the second stage 473 patients with type 1 or type 2 diabetes and hypertension in 35 diabetes centres throughout Germany received the HTEP including instructions in BP self-measurement. The HTEP consists of four units each one with a duration of 90 minutes covering the topics: hypertension, BP self-monitoring according to the standards of the German Hypertension League, antihypertensive medication including effects and side effects, recommendations to moderate exercise, weight reduction, dietary advice with reference to reduction of salt and alcohol and normalising the intake of protein. These patients participated in a prospective non-experimental study with a follow up of three years investigating the long-term outcomes of the HTEP in uncontrolled settings. The DCs assessed the accuracy of patients' self-monitoring by parallel measurement. Assessments included questionnaires evaluating patients' understanding of hypertension and metabolic control. The mean BP monitored by the DC fell from 150/85mmHg to 147/80mmHg (p<0.0001). The accuracy of self-measurements increased from 76% to 86% (p<0.005) and mean self-measurement readings decreased from 142/81mmHg to 139/78mmHg. HbA1c fell significantly from 7.9±1.6% to 7.3±1.1% (mean ± SD, p<0.001) and total cholesterol was lowered from 241±67.1mg/dl to 200±40.4mg/dl (p<0.001). Patients' knowledge of hypertension increased from 62% before the intervention to 72% after three years' follow up. Patients over 70 years showed less knowledge than younger patients (p<0.005). It was concluded that the HTEP is effective in improving BP, metabolic control and knowledge of hypertension. It enables patients to measure their BP precisely and regularly. Copyright © 2005 FEND. [source] Continuous glucose monitoring system: an attractive support tool in diabetes educationEUROPEAN DIABETES NURSING, Issue 1 2005L Saez-de-Ibarra BSc Diabetes Specialist Nurse Abstract The study was designed to determine the usefulness of the CGMS (continuous glucose monitoring system) as a support tool in type 1 diabetes education. The CGMS is a sensor system that measures interstitial glucose levels every five minutes for three or more days, by means of a microelectrode inserted in the subcutaneous tissue. People with type 1 diabetes (n=52), who actively participated in diabetes self-management programmes, were monitored with CGMS during three to five days. Patients were selected for CGMS when unsatisfied with the glycaemic results achieved, given the effort made. Ten patients used CSII, 14 used insulin glargine plus rapid acting insulin analogue and 28 used NPH insulin plus short acting insulin. All patients used blood glucose self-monitoring, with a mean of 6.5±1.4 glucose readings per day. The CGMS register was evaluated with the patient. Mean capillary glucose during the 15 days prior to CGMS, mean capillary glucose during CGMS and mean capillary glucose during the 15 days after CGMS are compared. Discussion of the record with the patient frequently allowed detection of inappropriate solving attitudes. Mean capillary glucose dropped from 155±20mg/dL (8.60±1.11mmol/L) prior to CGMS to 143±20mg/dL (7.94±1.11mmol/L) after CGMS (p=0.000). The effectiveness of CGMS (number of patients in whom mean glucose improved) rose from 66.7% in 2001 to 70.6% in 2002, 78.9% in 2003 and 88.8% in 2004. When the patient is involved in the analysis of glucose fluctuations, CGMS is a useful tool in diabetes education that will help achieve attitude changes because of the evidence depicted by the continuous glucose record. Experience in the use of this tool by the professional will improve its effectiveness. Copyright © 2005 FEND. [source] Effect of self-monitoring on binge eating: treatment response or ,binge drift'?EUROPEAN EATING DISORDERS REVIEW, Issue 1 2006Tom Hildebrandt Abstract The current study aimed to determine if subjective bulimic episodes (SBEs) and objective bulimic episodes (OBEs) have different reactive effects to self-monitoring. Fourteen women with bulimia nervosa (57%) or binge eating disorder (43%) were diagnosed using the Eating Disorder Examination (EDE; version 12.0). During the 7-days post-interview, participants filled out daily self-monitoring records indicating the food consumed and any episodes of loss of control over eating. These records were reviewed and coded for OBEs and SBEs using the EDE coding scheme. Paired samples t -tests indicated that participants' average number of daily OBEs significantly decreased from baseline to the period of self-monitoring (t,=,2.41, p,<,0.05, Cohen's d,=,0.90), whereas there was a significant increase from baseline to self-monitoring in their average number of SBEs (t,=,,2.41, p,<,0.05, Cohen's d,=,0.86). Of the 12 participants who showed a decrease in OBEs, 75% showed a concurrent increase in SBEs. The data suggest that the reactivity of OBEs to minimal or brief interventions may in part be due to binge drift, or the reduction of OBEs at the expense of increasing SBEs. Copyright © 2006 John Wiley & Sons, Ltd and Eating Disorders Association. [source] Individual differences in cooperation in a circular public goods gameEUROPEAN JOURNAL OF PERSONALITY, Issue S1 2001Robert Kurzban Research using the public goods game to examine behaviour in the context of social dilemmas has repeatedly shown substantial individual differences in patterns of contributions to the public good. We present here a new method specifically designed to capture this heterogeneity in play and classify participants into broad categories or types. Players in groups of four made initial, simultaneous contributions to the public good. Subsequently, players were sequentially told the current aggregate contribution to the public good and allowed to change their decision based on this information. The game continued, with players updating their contribution decision until the game ended at an unknown point. By looking at the relationship between players' contributions and the aggregate value they observed, we were able to cleanly classify 82% of our players into three types: strong free riders (28%), conditional cooperators of reciprocators (29%), and strong cooperators (25%). We also found that scores on some of the personality dimensions we investigated (self-monitoring, self-esteem, neuroticism, and conscientiousness) correlated with player type. Finally, males were found to be more likely to be strong cooperators than females. Copyright © 2001 John Wiley & Sons, Ltd. [source] Collaboration of a dentist and speech-language pathologist in the rehabilitation of a stroke patient with dysarthria: a case studyGERODONTOLOGY, Issue 2 2005Takahiro Ono Objective:, To elucidate the effectiveness of the collaboration of a dentist and speech-language pathologist (SLP) in the rehabilitation of a stroke patient with dysarthria. Design:, A clinical case report treated in the rehabilitation hospital and dental surgery. Subject:, A 71-year-old Japanese man who was admitted to the rehabilitation hospital for speech rehabilitation 2 years and 5 months after a stroke. Methods:, Provision of prosthesis (palatal lift prosthesis + palatal augmentation prosthesis) for improving velopharyngeal incompetence (VPI) and articulation by dentist, and speech behavioural management by SLP including self-monitoring and bio-feedback training using the See-Scape. Results:, Speech behavioural management proved useful for promoting improvement in speech intelligibility to a functionally sufficient level after improving VPI by prosthesis. Conclusion:, The collaborative efforts of the dentist and SLP in the rehabilitation of post-stroke patients with velopharyngeal incompetence should be encouraged. [source] Individual differences in children's understanding of social evaluation concernsINFANT AND CHILD DEVELOPMENT, Issue 3 2002Robin BanerjeeArticle first published online: 27 AUG 200 Abstract Recent research suggests that children's understanding of self-presentational behaviour,behaviour designed to shape social evaluation,is a function of both cognitive and motivational variables. Furthermore, the motivational factors involved are likely to reflect individual differences in the salience of concerns about social evaluation. The present research represents a first effort to determine whether measures of such differences are indeed associated with the understanding of self-presentational behaviour. In a first experiment, a teacher rating measure of self-monitoring was found to be positively associated with the understanding of self-presentational motives. In a second experiment, a more narrowly specified self-report measure of public self-consciousness was found to have a similar association with the understanding of self-presentation, with no such association found for private self-consciousness. These preliminary results make it clear that our formulations of development in social cognition must indeed include a consideration of individual differences in motivational orientations. Copyright © 2002 John Wiley & Sons, Ltd. [source] Heart failure self-management education: a systematic review of the evidenceINTERNATIONAL JOURNAL OF EVIDENCE BASED HEALTHCARE, Issue 3 2009Suzanne Austin Boren PhD MHA Abstract Objective, The objective of this systematic review is to identify educational content and techniques that lead to successful patient self-management and improved outcomes in congestive heart failure education programs. Methods, MEDLINE, CINAHL and the Cochrane Central Register of Controlled Trials, as well as reference lists of included studies and relevant reviews, were searched. Eligible studies were randomised controlled trials evaluating congestive heart failure self-management education programs with outcome measures. Two of the investigators independently abstracted descriptive information, education content topics and outcomes data. Results, A total of 7413 patients participated in the 35 eligible congestive heart failure self-management education studies. The congestive heart failure self-management programs incorporated 20 education topics in four categories: (i) knowledge and self-management (diagnosis and prognosis, pathophysiology of how congestive heart failure affects the body, aims of treatment, management and symptoms, medication review and discussion of side-effects, knowing when to access/call the general practitioner, communication with the physician, follow up for assessment or reinforcement); (ii) social interaction and support (social interaction and support, stress, depression); (iii) fluids management (sodium restriction, fluid balance, daily measurement of weight, ankle circumference, self-monitoring and compliance relative to fluids); and (iv) diet and activity (dietary assessment and instructions, physical activity and exercise, alcohol intake, smoking cessation). A total of 113 unique outcomes in nine categories (satisfaction, learning, behaviour, medications, clinical status, social functioning, mortality, medical resource utilisation and cost) were measured in the studies. Sixty (53%) of the outcomes showed significant improvement in at least one study. Conclusion, Educational interventions should be based on scientifically sound research evidence. The education topic list developed in this review can be used by patients and clinicians to prioritise and personalise education. [source] Moderating Effects of Rater Personality on the Relation Between Candidate Self-Monitoring and Selection Interview RatingsINTERNATIONAL JOURNAL OF SELECTION AND ASSESSMENT, Issue 4 2004Aryeh Lazar The present study examined the moderating effect of rater personality , extroversion and sensitivity to others , on the relations between selection interview ratings and measures of candidate self-monitoring (SM) and social anxiety (SA). In a real-life military selection procedure setting in which 445 candidates and 93 raters participated, rater extroversion moderated the relation between candidate SM and selection interview ratings so that this relation was negative for raters low on extroversion and positive for raters high on extroversion. Rater extroversion was also found to moderate the negative relation between candidate SA and selection interview ratings. No support was found for the moderating effect of rater sensitivity to others. An explanation of the moderating effect of rater extroversion based on the assumption that extroversion is negatively related to critical interpersonal sensitivity was suggested. [source] Relation between self-knowledge reference and self-monitoring of emotional state1JAPANESE PSYCHOLOGICAL RESEARCH, Issue 3 2007TAKASHI NAKAO Abstract:, We used a task facilitation paradigm to examine whether self-knowledge reference and self-monitoring have a functional relationship. Eighteen participants performed a series of tasks: self-knowledge reference, evaluation, self-monitoring, and semantic. Responses on the self-knowledge reference task were faster when the previous task was self-monitoring rather than semantic. However, responses on the self-monitoring task were similar regardless of whether it was preceded by the self-knowledge reference task or the evaluation task. Our results suggest that self-monitoring induces self-knowledge reference. [source] The effect of a pulmonary rehabilitation programme on older patients with chronic pulmonary diseaseJOURNAL OF CLINICAL NURSING, Issue 1 2008Kim Ae Kyung RN Aim., The aim of this study was to answer the question: is there an effect on the respiratory capacity and activity tolerance of older patients with chronic obstructive pulmonary disease who participate in a pulmonary rehabilitation programme? Background., Pulmonary rehabilitation is now an integral part of chronic obstructive pulmonary disease management. Evidence supports the positive effects of breath training and exercising training on quality of life, exercise tolerance and improved physical condition of individual with chronic obstructive pulmonary disease. Limited empirical documentation exists to support the effectiveness of a nurse managed rehabilitation programme for older patients with chronic obstructive pulmonary disease. The study was done to evaluate the effects of pulmonary rehabilitation provided by nurses on the pulmonary function, gas exchange and exercise tolerance in older patients with chronic obstructive pulmonary disease. Design., A one group pre-test,post-test design was used to evaluate the effects of a pulmonary rehabilitation programme. Method., The sample consisted of 20 patients with chronic obstructive pulmonary disease who participated in a pulmonary rehabilitation programme including breathing exercises, upper-limb exercises and inspiratory muscle training. Results., The findings indicated improvement in exercise performance and a decrease in dyspnea after participation in the pulmonary rehabilitation programme. Relevance to clinical practice., The clinical nurse can make a significant impact on the illness trajectory and quality of life for patients with chronic obstructive pulmonary disease. The nurse has a critical role in helping patient with chronic obstructive pulmonary disease learn to cope, adjust and adapt to life with a chronic illness. Active nurse involvement with a patient in a pulmonary rehabilitation programme can assist in the identification of factors that motivate the patient, help in establishing realistic out comes expectations and provide patient teaching opportunities. The nurse can assist the patient to develop skills of self-awareness regarding particular symptoms, self-monitoring and health status change identification. [source] Psychological issues and treatments for people with diabetesJOURNAL OF CLINICAL PSYCHOLOGY, Issue 4 2001Richard R. Rubin This article examines psychological issues and their treatment among people with diabetes. The paper contains two main sections, one dealing with diagnosable clinical disorders, and the other with more mundane but nevertheless important subclinical problems in living with diabetes. We review the published literature on prevalence, manifestation, consequences, and treatment of psychological disorders in persons with diabetes, primarily depression, anxiety, and eating disorders. In describing everyday problems in living with diabetes we expand our sources beyond the published literature to include our own clinical and consulting experiences as well as our unpublished qualitative research. These problems include dietary restrictions, self-monitoring of blood glucose, taking insulin injections, and lack of support from family and health care professionals. We describe methods for dealing with such problems and discuss the tension between focusing on emotional distress versus practical issues of disease management. Finally, we briefly present some potentially positive consequences of living with diabetes so that readers can be aware of the inspirational aspects of personal experience with this disease. © 2001 John Wiley & Sons, Inc. J Clin Psychol 57: 457,478, 2001 [source] Exploring consumer status and conspicuous consumptionJOURNAL OF CONSUMER BEHAVIOUR, Issue 1 2004Professor Aron O'Cass Abstract In seeking to expand an understanding of consumption, this study assesses the relationship between status consumption and conspicuous consumption. Theoretically, the relationship between status consumption and conspicuous consumption is problematic and, therefore, the main focus of this paper examines the theoretical and empirical separation of consumers' status consumption and conspicuous consumption. Data were gathered via a survey of individuals aged between 18 and 25. The findings indicate that status consumption and conspicuous consumption are distinct constructs. Differences in status consumption tendencies between males and females were not found; however, in relation to conspicuous consumption gender differences were found. Status consumption was affected by self-monitoring and interpersonal influences, but conspicuous consumption was affected only by interpersonal influences. The brands examined also clearly differed in terms of status and conspicuous consumption perceptions. Copyright © 2004 Henry Stewart Publications Ltd. [source] Comparing the validity of multiple social effectiveness constructs in the prediction of managerial job performanceJOURNAL OF ORGANIZATIONAL BEHAVIOR, Issue 4 2006Assaf Semadar Social effectiveness constructs have been receiving increased attention in organizational research. However, the proliferation of such constructs raises questions of their relative effectiveness as predictors of job performance when used in multivariate comparison. The current study examined four social effectiveness constructs (i.e., self-monitoring, leadership self-efficacy, emotional intelligence and political skill) in the prediction of managerial job performance. Bivariate correlations showed that performance was predicted by social effectiveness constructs with the exception of self-monitoring. Multiple regression analyses, using gender and seniority as control variables, found political skill to be the strongest predictor and that it has significant incremental validity in the prediction of performance over the prediction provided by the other three social effectiveness constructs as a set. Strengths and limitations of the study are discussed, as are directions for future research. Copyright © 2006 John Wiley & Sons, Ltd. [source] Articulatory Phonetics in the First-Year Spanish ClassroomMODERN LANGUAGE JOURNAL, Issue 3 2000Deborah L. Arteaga focus of this article is twofold: I reconsider the general question of the role of articulatory phonetics in the second language (L2) classroom and review the phonetics presentation in 10 recent first-year Spanish texts. Pronunciation has been accorded little importance within recent methodological approaches, although their stated goals of communication and intelligibility in fact require the incorporation of explicit phonetics instruction in the language classroom. Considering the first-year Spanish L2 classroom, I propose a phonetics program based on the notion of a learner's dialect (cf. Bergen, 1974). I then measure the phonetics presentation of 10 Spanish textbooks against a learner's dialect, and find that pronunciation sections are in most cases incomplete and inaccurate and provide for no self-monitoring or recycling. This article argues against the current trend reflected in these texts, which relegates pronunciation to the laboratory manual or eliminates it altogether. [source] ,Inductions of labour': on becoming an experienced midwifery practitioner in Aotearoa/New ZealandNURSING INQUIRY, Issue 1 2008Ruth SurteesArticle first published online: 6 FEB 200 This paper analyzes and explores varying discourses within the talk of new practitioner direct entry (DE) midwives in Aotearoa/New Zealand. In Aotearoa/New Zealand, midwifery is theorized as a feminist profession undertaken in partnership with women. Direct entry midwifery education is similarly based on partnerships between educators and students in the form of liberatory pedagogies. The context for the analysis is a large ethnographic study undertaken with a variety of differently positioned midwives based mainly in one city in New Zealand. I interviewed and observed over 40 midwives in their different practice settings in 2003. Complex and contesting forms of knowledge production are analyzed in this paper drawing on methodological insights from Foucauldian discourse analysis. New practitioners engage in techniques of self-monitoring and surveillance as they move towards becoming established practitioners. New midwifery subjectivities and forms of knowledge production which contest authoritative forms of knowledge are produced. Midwives in New Zealand are seen to inhabit a complex and liminal space of midwifery praxis. Paradoxically, they are exhorted to remain the ,guardians of normal birth' in a time of increasing interventions into birth both locally and internationally. Paradoxes encountered by new midwifery practitioners in New Zealand as they struggle to maintain ideals of ,normal' birth may be paralleled by the constraints inadvertently produced through governing discourses of emancipatory or liberatory pedagogies. The relevance of this is also highly critical for midwifery and birth practices internationally. [source] Multicontextual occupational therapy intervention: a case study of traumatic brain injuryOCCUPATIONAL THERAPY INTERNATIONAL, Issue 1 2001Belkis Landa-Gonzalez Abstract Cognitive deficits after a traumatic brain injury can result in significant functional limitations in all areas of daily living. An individual's ability to generalize learning may be limited, thus making it harder to live independently in the community. Assessing a client's metacognitive skills and awareness level may help to establish a baseline understanding about the supervision required and the most suitable living arrangements. This study describes a multicontextual, community re-entry occupational therapy programme directed at awareness training and compensation for cognitive problems in a 34-year-old man with traumatic brain injury. Intervention consisted of metacognitive training, exploration and use of effective processing strategies, task gradations and practice of functional activities in multiple environmental contexts. Strategies such as self-prediction, self-monitoring, role reversal and the use of checklists were used. Results after six months of intervention show improvements in the client's awareness level, enhancement of his occupational function, increased satisfaction with performance and a decrease in the level of attendant care. Additional studies are recommended to validate the findings. Copyright © 2001 Whurr Publishers Ltd. [source] Self-monitoring of blood glucose in children and teens with diabetesPEDIATRIC DIABETES, Issue 1 2005Helen Bui Abstract:, Improved metabolic control has unequivocally been demonstrated to delay the onset and slow the progression of microvascular complications in adolescents and adults with diabetes mellitus. Growing evidence also supports the association of tighter glucose control and more frequent blood glucose monitoring. Therefore, self-monitoring of blood glucose (SMBG) has become a fundamental part of diabetes care in children. Here, we review recent advances and ongoing trends in glucose monitoring in children with diabetes. Technologies have been developed to improve patient compliance with recommended monitoring, requiring less blood, involving less pain, and providing results more quickly. Alternate-site testing (AST) is also a potential means of improving patient compliance with SMBG by avoiding the sensitive fingertip area. The Continuous Glucose Monitoring System (CGMS) and the GlucoWatch® Biographer are two recent tools that can track glucose levels continuously. However, inconsistency in their accuracy and precision remain challenges when using these technologies to guide management. [source] | |||||||||||||||||||||||||||||||||||||