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1
Corfman, Kim P., and Donald R. Lehmann. "Models of Cooperative Group Decision-Making and Relative Influence: An Experimental Investigation of Family Purchase Decisions." Journal of Consumer Research 14, no. 1 (June 1987): 1. http://dx.doi.org/10.1086/209088.
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Roguski, Michael David. "The Reclamation of Whānau Decision-Making in the Context of Child Welfare. A Case Study of Iwi-Led Family Group Conferences." International Journal of Critical Indigenous Studies 13, no. 1 (September 23, 2020): 86–100. http://dx.doi.org/10.5204/ijcis.v13i1.1575.
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The Children, Young Persons and Their Families Act (1989) heralded family group conferences as an innovative mechanism to reinforce the role of family in child welfare decision-making. While many have regarded family group conferences as a culturally appropriate response, continued managerialism reflected a guise of cultural responsiveness and family involvement that has actively disempowered whānau and the young person in decision-making processes. Similar to concerns that led to the formation of the 1989 Act, institutional racism inspired Rangitāne o Wairarapa (Rangitāne) to reclaim the family group conference process, and child welfare decision-making, as an iwi function. The current study reports on the development of a family group conference practice model of one iwi (Rangitāne) as a case study of cultural reclamation. The success of the approach is juxtaposed against the iwi practice model, critical success factors and opportunities for the development of such practice models across Aotearoa New Zealand.
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Foster, Liam, and Martin Heneghan. "Pensions planning in the UK: A gendered challenge." Critical Social Policy 38, no. 2 (August 24, 2017): 345–66. http://dx.doi.org/10.1177/0261018317726639.
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Gender differences in the accumulation of pension savings are well documented. Work in this field has concluded that while differing lifetime work profiles (and family history) explained much of the difference, other factors such as pension knowledge and confidence in decision-making, may also be significant. This research, commissioned by the Fawcett Society and funded by Scottish Widows, explores some of these factors through the use of 30 semi-structured interviews and a focus group with women (aged 24–39) about their attitudes and motivations towards pension saving. It concentrates on discussions around pension knowledge, advice and decision-making, and identifies challenges in relation to women’s pension knowledge and the use of male ‘role models’ in making decisions. The article then explores potential policy mechanisms to enhance women’s pension saving for retirement, including the manner in which information and advice is provided and strategies to improve confidence in pension decision-making.
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Kumar, Manoj. "A Modeling Framework to Capture the Intra-Household Consumption Behavior." International Journal of Applied Behavioral Economics 6, no. 1 (January 2017): 47–76. http://dx.doi.org/10.4018/ijabe.2017010104.
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Quantitative models in marketing typically focus on the household as the unit of analysis while ignoring the individual family members' behavior and behavioral interactions among household members. However, knowledge of such intra-household behavioral interaction enables marketers to target their communications more effectively. In this paper, the author proposes a modeling framework to capture the intra-household behavioral interaction based on family members' actual consumption behavior over time. The author develops a model to capture multiple agents' simultaneous choice decisions over more than two choice alternatives. This is extremely difficult with other previously developed modeling approaches. We apply the proposed model to a context of family member's television viewing, and simultaneously model whether TV is on, which type of programs is playing and which family member(s) is (are) watching. The proposed model allows us to estimate the individual's intrinsic preference and the extrinsic preference from a joint consumption with other members. These estimates allow us to test several alternative group decision-making heuristics that may operate in those joint consumption occasions and conduct managerially useful counterfactual simulations.
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Akram, Muhammad, Kiran Zahid, and José Carlos R. Alcantud. "A new outranking method for multicriteria decision making with complex Pythagorean fuzzy information." Neural Computing and Applications 34, no. 10 (January 21, 2022): 8069–102. http://dx.doi.org/10.1007/s00521-021-06847-1.
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AbstractThis article contributes to the advancement and evolution of outranking decision-making methodologies, with a novel essay on the ELimination and Choice Translating REality (ELECTRE) family of methods. Its primary target is to unfold the constituents and expound the implementation of the ELECTRE II method for group decision making in complex Pythagorean fuzzy framework. This results in the complex Pythagorean fuzzy ELECTRE II method. By inception, it is intrinsically superior to models using one-dimensional data. It is designed to perform the pairwise comparisons of the alternatives using the core notions of concordance, discordance and indifferent sets, which is then followed by the construction of complex Pythagorean fuzzy concordance and discordance matrices. Further, the strong and weak outranking relations are developed by the comparison of concordance and discordance indices with the concordance and discordance levels. Later, the forward, reverse and average rankings of the alternatives are computed by the dint of strong and weak outranking graphs. This methodology is supported by a case study for the selection of wastewater treatment process, and by a numerical example for the selection of the best cloud solution for a big data project. Its consistency is confirmed by an effectiveness test and comparison analysis with the Pythagorean fuzzy ELECTRE II and complex Pythagorean fuzzy ELECTRE I methods.
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Pedrycz, Witold. "Human Centricity and Perception-Based Perspective and Their Centrality to the Agenda of Granular Computing." International Journal of Cognitive Informatics and Natural Intelligence 5, no. 4 (October 2011): 44–60. http://dx.doi.org/10.4018/jcini.2011100104.
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In spite of their striking diversity, numerous tasks and architectures of intelligent systems such as those permeating multivariable data analysis, decision-making processes along with their underlying models, recommender systems and others exhibit two evident commonalities. They promote (a) human centricity and (b) vigorously engage perceptions (rather than plain numeric entities) in the realization of the systems and their further usage. Information granules play a pivotal role in such settings. Granular Computing delivers a cohesive framework supporting a formation of information granules and facilitating their processing. The author exploits two essential concepts of Granular Computing. The first one deals with the construction of information granules. The second one helps endow constructs of intelligent systems with a much needed conceptual and modeling flexibility. The study elaborates in detail on the three representative studies. In the first study being focused on the Analytic Hierarchy Process (AHP) used in decision-making, the author shows how an optimal allocation of granularity helps improve the quality of the solution and facilitate collaborative activities in models of group decision-making. The second study is concerned with a granular interpretation of temporal data where the role of information granularity is profoundly visible when effectively supporting human centric description of relationships existing in data. The third study concerns a formation of granular logic descriptors on a basis of a family of logic descriptors.
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Phillips, Rhiannon, Denitza Williams, Daniel Bowen, Delyth Morris, Aimee Grant, Bethan Pell, Julia Sanders, Ann Taylor, Ernest Choy, and Adrian Edwards. "Reaching a consensus on research priorities for supporting women with autoimmune rheumatic diseases during pre-conception, pregnancy and early parenting: A Nominal Group Technique exercise with lay and professional stakeholders." Wellcome Open Research 3 (June 20, 2018): 75. http://dx.doi.org/10.12688/wellcomeopenres.14658.1.
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Background:Women with autoimmune rheumatic diseases (ARDs) find it difficult to get information and support with family planning, pregnancy, and early parenting. A systematic approach to prioritising research is required to accelerate development and evaluation of interventions to meet the complex needs of this population. Methods:A Nominal Group Technique (NGT) exercise was carried out with lay and professional stakeholders (n=29). Stakeholders were prepared for debate through presentation of available evidence. Stakeholders completed three tasks to develop, individually rank, and reach consensus on research priorities: Task 1 – mapping challenges and services using visual timelines; Task 2 - identifying research topics; Task 3 - individually ranking research topics in priority order. Results of the ranking exercise were fed back to the group for comment. Results:The main themes emerging from Task 1 were the need for provision of information, multi-disciplinary care, and social and peer support. In Task 2, 15 research topics and 58 sub-topics were identified around addressing the challenges and gaps in care identified during Task 1. In Task 3, a consensus was reached on the ten research topics that should be given the highest priority. These were individually ranked, resulting in the following order of priorities (from 1 – highest to 10 – lowest): 1. Shared decision-making early in the care pathway; 2. Pre-conception counseling; 3. Information about medication use during pregnancy/breastfeeding; 4. Personalised care planning; 5. Support for partners/family members; 6. Information about local support/disease specific issues; 7. Shared decision-making across the care pathway; 8. Peer-support; 9. Social inequalities in care, and; 10. Guidance on holistic/alternative therapies. Conclusions:This systematic approach to identification of research priorities from a multi-disciplinary and lay perspective indicated that activities should focus on development and evaluation of interventions that increase patient involvement in clinical decision-making, multi-disciplinary models of care, and timely provision of information.
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Ganshorn, Heather. "A Librarian Consultation Service Improves Decision-Making and Saves Time for Primary Care Practitioners." Evidence Based Library and Information Practice 4, no. 2 (June 14, 2009): 148. http://dx.doi.org/10.18438/b8289j.
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McGowan, Jessie, William Hogg, Craig Campbell, and Margo Rowan. “Just-in-Time Information Improved Decision-Making in Primary Care: A Randomized Controlled Trial.” PLoS ONE 3.11 (2008): e3785. 10 Mar 2009
Objectives – To determine whether a point-of-care librarian consultation service for primary care practitioners (PCPs) improves the quality of PCPs’ decision-making; saves PCPs time; reduces the number of point-of-care questions that go unanswered due to time constraints; and is cost-effective. Overall PCP satisfaction with the service was also assessed.
Design – Randomized controlled trial.
Setting – Four Family Health Networks (FHNs) and 14 Family Health Groups (FHGs) in Ontario, Canada. These represent new models for primary care service delivery in Ontario.
Subjects – PCPs working within the selected FHNs and FHGs. The majority of these were physicians, but the sample also contained one resident, one nurse, and four nurse-practitioners.
Methods – Subjects were trained in the use of a Web-based query form or mobile device to submit their point-of-care questions electronically. They were also trained in query formulation using PICO (patient, intervention, comparison, and outcome).
Allocation was concealed by an independent company hired to manage data for the project. Participants were not randomized; rather the questions were randomized using a random-number generator.
To ensure blinding of the librarians, all questions submitted were answered by a librarian. Answers to questions in the intervention group were relayed by a third party to the practitioner within minutes. Answers to the questions in the control group were not communicated to the physician. Blinding of the PCP subjects was not possible, as they either received or did not receive an answer.
Subjects were asked to respond to a questionnaire 24 hours after submitting their question. If the question was in the control group, subjects were asked to indicate whether they had let the question remain unanswered or pursued an answer on their own. In order to assess cognitive impact of both librarian-provided information and self-sought information, respondents were asked to rate information on a scale from high positive to negative impact on decision making.
Two linear regression models were run on the data, with participant response time as the dependent variable in the first model, and librarian response time as the dependent variable in the second.
Main Results – The service received a total of 1,889 questions, of which 472 (25%) were randomized to the control group, and 1,417 (75%) to the intervention group. Analysis run on both groups found that the types and complexity of questions were similar between the two groups, as was librarian response time. Questions were rated for complexity (the rating scale is included in the article), and most (85%) had a Level 1 complexity rating, meaning there was only one concept listed for each PICO element.
The primary outcome measure was the amount of time required to answer the question. Average librarian time to respond to questions was 13.68 minutes per question. Average PCP time to find answers to their own questions was 20.29 minutes; however, subjects only attempted to answer 40.5% of control-group questions themselves. Cost-effectiveness analysis was run on these times, and the authors found that the average per-question salary cost for a librarian to answer these questions (based on 15 minutes per question) was $7.15, while average salary cost for a PCP to spend 15 minutes searching for information ranged from $20.75 to $27.69.
The results of the questionnaire indicated a significant positive impact of the information on clinician decision-making. Approximately 60% of the questions in the control group went unanswered, whereas all of the questions in the intervention group were answered. Of the questions answered by the information service, 63.7% of the answers were rated by participants as having a high positive impact on decision-making, versus 14.9% of answers to questions in the control group that practitioners sought out themselves. Seventeen percent of the answers were rated as having a moderate positive impact in the intervention group, versus 5.9% in the control group. Only 7.8% of answers in the intervention group were rated as having no impact, versus 24.8% of answers in the control group. A negative impact (where practitioners found too much or too little information or information that they disagreed with or felt was harmful) was found for 7.7% of librarian-provided answers, compared with 44.9% of practitioner-sought answers.
Satisfaction was very high, according to the exit satisfaction survey, with 86% agreeing that the service had a positive impact on decision-making, and 83% stating that relevant answers were provided in an appropriate time frame. Most participants (72%) would consider using such a service, and 33% indicated they would be willing to pay for this type of service.
Conclusion – A point-of-care reference service, in which librarians answer primary care practitioners’ questions within minutes, has a very positive impact on clinical decision making and a high rate of client satisfaction. This system saves PCPs time, which may allow them to spend more time with patients. In supporting good clinical decision making, the service may also decrease the need for referrals and further tests. The service is cost-effective, as librarians find better quality information than practitioners, and they do it faster, on a lower per-hour salary.
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Moilanen, Kristin L., Janie M. Leary, S. Michelle Watson, and Jason Ottley. "Predicting Age of Sexual Initiation: Family-Level Antecedents in Three Ethnic Groups." Journal of Early Adolescence 38, no. 1 (May 15, 2015): 28–49. http://dx.doi.org/10.1177/0272431615586462.
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We investigated how family characteristics and experiences during early adolescence predicted timing of sexual initiation. In addition, we investigated adolescent sex and race/ethnicity as potential moderating factors. As part of the Children of the National Longitudinal Survey of Youth-1979 (CNLSY-79), 799 adolescents aged 12 to 15 years provided data at 2-year intervals between 1994 and 2010 (51.7% male; 24.5% Hispanic, 36.5% African American, 38.9% European American); their mothers also provided data in 1986 and 1994. Analyses indicated that early sexual initiation was primarily attributable to male sex, Black race, early maternal childbearing, father absence, and adolescents’ autonomous decision making during early adolescence. Multigroup path models suggested that few effects were moderated by sex or race/ethnicity. We discuss implications of these findings for future research and prevention/intervention efforts.
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Indriyani, Diyan, and Susi Wahyuning Asih. "Persepsi Ibu Muda dan Keluarga tentang Pemberian Imunisasi (Pendekatan Maternal Sensitivity Models Berbasis Keluarga)." Jurnal Kesehatan 5, no. 1 (February 11, 2019): 60–67. http://dx.doi.org/10.25047/j-kes.v5i1.45.
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Introduction: The health condition of babies is the responsibility of mothers and the family. One effort to avoid a situation of pain in infants is by immunization. Early mothers with infant care experience is still lacking, need to support the family in order to have proper decision-making ability in the care of babies, one of which is immunization. Therefore, the right perception about immunization in infants is critical owned by the mother and the family. Objective: This study has the objective to explore the perceptions of early mothers and families about immunization approach to maternal sensitivity models. Methods: The research design was participatory research approaches (qualitative) and Participatory Action Reseacrh (PRA). The techniques of data collection was Focus Group Discussion (FGD) with 50 early mothers as the participants in Regional Health Center of Sumbersari and Sukorambi Jember who had babies. The sampling was done by using purposive sampling in March-August 2016. The data werethen analyzed using descriptive and qualitative methods. Results: The result showed the general condition of pain often experienced by babies are acute respiratory infections, diarrhea and febrile, although some cases of pneumonia occur. Health official are already running a baby care related programs such as immunization, immunization coverage has been good and meet the target. Perceptions of early mothers about immunizations include: to schedule and type of immunization tend to succumb to the health and family perception about immunization is likely to depend wife and health official. Conclusion: It is concluded that immunization coverage has been on target, but the perception of early mothers and families about immunization still needs to be improved. Recommendations in this research that suggested that synergism cooperation among health official, early mothers and families in the optimization of the perception about immunization. Keywords: Early Mothers and Family, Infant Immunization, Maternal sensitivity Models, Perception.
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Kholifah, Siti Nur, Minarti Minarti, and Hilmi Yumni. "Adaptif Conservation (Acm) Model in Increasing Family Support and Compliance Treatment in Patient with Pulonary Tuberculosis in Surabaya City Region." Jurnal Ners 7, no. 1 (April 2, 2017): 56–63. http://dx.doi.org/10.20473/jn.v7i1.3999.
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Introduction: Tuberculosis (TB) in Indonesia is still health problem and the prevalence rate is high. Discontinuing medication and lack of family support are the causalities. Numbers of strategies to overcome are seemingly not succeeded. Roles and responsibilities of family nursing are crucial to improve participation, motivation of individual, family and community in prevention, including pulmonary tuberculosis. Unfortunately, models of pulmonary tuberculosis currently unavailable. The combination of adaptation and conservation in complementarily improving family support and compliance in medication is introduced in this study.Method: This research intended to analyze Adaptive Conservation Model (ACM) in extending family support and treatment compliance. Modeling steps including model analysis, expert validation, field trial, implementation and recommending the output model. Research subject involves 15 families who implement family Assistance and supervision in Medication (ASM) and other 15 families with ACM.Result: The study revealed ACM is better than ASM on the case of family support and medication compliances. It supports the role of environment as influential factor on individual health belief, values and decision making. Therefore, it is advised to apply ACM in enhancing family support and compliance of pulmonary TB patients.Discusion: Social and family supports to ACM group obtained by developing interaction through communication. Family interaction necessary to improve family support to pulmonary tuberculosis patients. And social support plays as motivator to maintain compliance on medication
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TAMOZHSKA, I. "A SET OF ACTIVITIES FOR THE FORMATION OF PROFESSIONAL COMMUNICATIVE COMPETENCY OF FOREIGN STUDENTS STUDYING AT THE MEDICAL SPECIALTIES IN HEI." ТHE SOURCES OF PEDAGOGICAL SKILLS, no. 27 (December 13, 2021): 221–27. http://dx.doi.org/10.33989/2075-146x.2021.27.247119.
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The article is devoted to such an important aspect of future medical specialists’ professional activity as communication. It is a tool for diagnosing and solving morphological-anatomical, psychological, therapeutic, field-specific tasks, when the specialist uses terminological and professional communication (doctor’s communication with a patient and his/her family, medical staff). The essence of the concept «exercise» is considered. The focus is on the methodological effectiveness of the developed set of activities aimed at the formation of professional communicative competency of foreign students of medical specialties during the classes of Business Ukrainian Language in higher education institutions. The didactic material involved corresponds to the educational purpose and educational objectives. It is mentioned that each exercise has a clear structure: 1) purpose – the formation of future medical specialists’ business communication skills (providing arguments, learning techniques and rules of reasoned discourse, discussing issues in an effective and rational way, answering questions clearly, effective interaction, group decision-making, generating ideas, modeling professional activities to find the most constructive models); 2) tasks aimed at producing their own language and speech patterns; 3) guidelines and models for the task; 4) materials that imitate the subject and social contexts of professional activity, promote the development of various types of speech activity (listening, speaking, reading, writing). Doing the activities, students simulate professional communicative situations. It requires them to analyze theoretical knowledge, which is the basis for making effective decisions.
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O'Rourke, Michael, Don Hindle, Yondon Dungu, Ravjir Batsuury, Sodov Sonin, Jacques Jeugmans, and Takako Yasukawa. "Community involvement in health in Mongolia: hospital boards and other participatory structures." Australian Health Review 26, no. 1 (2003): 124. http://dx.doi.org/10.1071/ah030124.
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Under the Soviet central planning model that operated until 1990,the Mongolian population had little or no involvement in decision-making about health care. As part of overall health sector reform in Mongolia, hospital boards have been established, with significant community representation, to guide strategic and financial management and to assist in developing services according to community needs and expectations. We discuss experiences, and steps taken to resolve initial problems. We also describe other more recent participatory models including the family group practice initiative which involves the community choosing their doctor, community management of revolving drug funds, establishment of community health volunteer networks,and the government's information campaign strategy on the reforms. The community participation models in Mongolia are part of an ongoing process of openness and emphasise the commitment to change in that country. We argue that these experiences have the potential to guide and inform similar measures in other transitional countries.
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van Leeuwen, Danny, Michael Mittelman, Lacy Fabian, and Edwin A. Lomotan. "Nothing for Me or About Me, Without Me: Codesign of Clinical Decision Support." Applied Clinical Informatics 13, no. 03 (May 2022): 641–46. http://dx.doi.org/10.1055/s-0042-1750355.
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Abstract Background Partnerships among patients, families, caregivers, and clinicians are critical to helping patients lead their best lives given their specific genetics, conditions, circumstances, and the environments in which they live, work, and play. These partnerships extend to the development of health information technology, including clinical decision support (CDS). Design of these technologies, however, often occurs without a profound understanding of the true needs, wants, and concerns of patients and family members. Patient perspective is important not only for patient-facing applications but for provider-facing applications, especially those intended to support shared decision-making. Objectives Our objective is to describe models for effectively engaging patients and caregivers during CDS development and implementation and to inspire CDS developers to partner with patients and caregivers to improve the potential impact of CDS. Methods This article serves as a case study of how two patient activists successfully implemented models for engaging patients and caregivers in a federal program designed to increase the uptake of research evidence into clinical practice through CDS. Models included virtual focus groups, social media, agile software development, and attention to privacy and cybersecurity. Results Impact on the federal program has been substantial and has resulted in improved CDS training materials, new prototype CDS applications, prioritization of new functionality and features, and increased engagement of patient and caregiver communities in ongoing projects. Among these opportunities is a group of developers and patient activists dedicated and committed to exploring strategic and operational opportunities to codesign CDS applications. Conclusion Codesign and implementation of CDS can occur as a partnership among developers, implementers, patients, cybersecurity and privacy activists, and caregivers. Several approaches are viable, and an iterative process is most promising. Additional work is needed to investigate scalability of the approaches explored by this case study and to identify measures of meaningful inclusion of patients/caregivers in CDS projects.
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Yu, Catherine, Dorothy Choi, Brigida A. Bruno, Kevin E. Thorpe, Sharon E. Straus, Paul Cantarutti, Karen Chu, et al. "Impact of MyDiabetesPlan, a Web-Based Patient Decision Aid on Decisional Conflict, Diabetes Distress, Quality of Life, and Chronic Illness Care in Patients With Diabetes: Cluster Randomized Controlled Trial." Journal of Medical Internet Research 22, no. 9 (September 30, 2020): e16984. http://dx.doi.org/10.2196/16984.
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Background Person-centered care is critical for delivering high-quality diabetes care. Shared decision making (SDM) is central to person-centered care, and in diabetes care, it can improve decision quality, patient knowledge, and patient risk perception. Delivery of person-centered care can be facilitated with the use of patient decision aids (PtDAs). We developed MyDiabetesPlan, an interactive SDM and goal-setting PtDA designed to help individualize care priorities and support an interprofessional approach to SDM. Objective This study aims to assess the impact of MyDiabetesPlan on decisional conflict, diabetes distress, health-related quality of life, and patient assessment of chronic illness care at the individual patient level. Methods A two-step, parallel, 10-site cluster randomized controlled trial (first step: provider-directed implementation only; second step: both provider- and patient-directed implementation 6 months later) was conducted. Participants were adults 18 years and older with diabetes and 2 other comorbidities at 10 family health teams (FHTs) in Southwestern Ontario. FHTs were randomly assigned to MyDiabetesPlan (n=5) or control (n=5) through a computer-generated algorithm. MyDiabetesPlan was integrated into intervention practices, and clinicians (first step) followed by patients (second step) were trained on its use. Control participants received static generic Diabetes Canada resources. Patients were not blinded. Participants completed validated questionnaires at baseline, 6 months, and 12 months. The primary outcome at the individual patient level was decisional conflict; secondary outcomes were diabetes distress, health-related quality of life, chronic illness care, and clinician intention to practice interprofessional SDM. Multilevel hierarchical regression models were used. Results At the end of the study, the intervention group (5 clusters, n=111) had a modest reduction in total decisional conflicts compared with the control group (5 clusters, n=102; −3.5, 95% CI −7.4 to 0.42). Although there was no difference in diabetes distress or health-related quality of life, there was an increase in patient assessment of chronic illness care (0.7, 95% CI 0.4 to 1.0). Conclusions Use of goal-setting decision aids modestly improved decision quality and chronic illness care but not quality of life. Our findings may be due to a gap between goal setting and attainment, suggesting a role for optimizing patient engagement and behavioral support. The next steps include clarifying the mechanisms by which decision aids impact outcomes and revising MyDiabetesPlan and its delivery. Trial Registration ClinicalTrials.gov NCT02379078; https://clinicaltrials.gov/ct2/show/NCT02379078
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Kachoria, Aparna G., Mohammad Yousuf Mubarak, Awnish K. Singh, Rachael Somers, Saleh Shah, and Abram L. Wagner. "The association of religion with maternal and child health outcomes in South Asian countries." PLOS ONE 17, no. 7 (July 12, 2022): e0271165. http://dx.doi.org/10.1371/journal.pone.0271165.
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Objective Theological beliefs play an important role in cultural norms and could impact women’s prenatal and postpartum decisions in South Asia, which has a high burden of disease in children and pregnant women. The aim of this study is to identify any associations religion may have in affecting a woman’s decision-making ability, and how that in turn affects maternal and child health, at a group level in multiple South Asian countries. Study design Cross-sectional study utilizing secondary data analysis. Methods We used Demographic and Health Surveys (DHS) between 2014 and 2018 in Afghanistan, Bangladesh, India, Maldives, Myanmar, Nepal, and Pakistan. Not every country’s survey asked about religion, so we imputed these results based on Census data. We assessed maternal and child health through a composite coverage index (CCI), which accounts for family planning, attendance of a skilled attendant at birth, antenatal care, BCG vaccinations, 3 doses of diphtheria-tetanus-pertussis vaccine, measles vaccine, oral rehydration therapy, and seeking care if the child has pneumonia. The relationship between religion, women’s empowerment, and CCI was assessed through linear regression models. Results The sample included 57,972 mothers who had children aged 12–23 months. CCI is observed to be affected by family income, in addition to religion and country. CCI was higher in Hindus (2.8%, 95% CI: 2.4%, 3.1%) and Buddhists (2.0%, 95% CI: 1.2%, 2.9%) than Muslims. Mother’s age, education, income, decision-making autonomy, and attitude towards beatings were all related to CCI. In a model stratified by religion, age, education, and income were significant predictors of CCI for both Muslims and non-Muslims, but were more impactful among Muslims. Conclusion Though multiple imputation had to be used to fill in gaps in religion data, this study demonstrates that maternal and child health outcomes continue to be a concern in South Asia, especially for Muslim women. Given the importance of religious beliefs, utilizing a simple indicator, such as the CCI could be helpful for monitoring these outcomes and provides a tangible first step for communities to address gaps in care resulting from disparities in maternal empowerment.
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Dutschke, Georg, Lia Jacobsohn, Alvaro Dias, and Jaime Combadão. "The job design happiness scale (JDHS)." Journal of Organizational Change Management 32, no. 7 (November 11, 2019): 709–24. http://dx.doi.org/10.1108/jocm-01-2018-0035.
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Purpose The purpose of this paper is to identify the factors that individuals consider necessary to be happy in their job. Based on these factors, a measure of job design happiness (JDH) is proposed. Design/methodology/approach Two methods were applied: a qualitative study with content analyses (n=969) to develop an exploratory questionnaire; and exploratory and confirmatory factor analysis by applying structural equations models. In this second study the questionnaire was sent to a second sample (n=1,079). Findings Five first-order factors were identified: self-fulfillment; group working, attaining goals; leadership; and sustainability and job/family balance. These factors are explained by a second order factor: JDH. Research limitations/implications Further research is needed to determine how the identified “job design happiness” components may interact with one another. Testing the measure of different industries and national cultures is also suggested. Practical implications Managers and human resources practitioners can improve job and organizational performance by applying the scale in several moments in time measuring the job happiness “pulse,” monitoring their decisions. Social implications The adoption of this measure for decision making in organizational and job design can contribute to the improvement of living standards and firm sustainability. Originality/value Research on organizational happiness has been increasing but instruments to measure JDH, considering organizational factors, are limited.
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Cleveland, H. Harrington, Gabriel L. Schlomer, David J. Vandenbergh, Pedro S. A. Wolf, Mark E. Feinberg, Mark T. Greenberg, Richard L. Spoth, and Cleve Redmond. "Associations between alcohol dehydrogenase genes and alcohol use across early and middle adolescence: Moderation × Preventive intervention." Development and Psychopathology 30, no. 1 (May 23, 2017): 297–313. http://dx.doi.org/10.1017/s0954579417000633.
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AbstractData from the in-school sample of the PROSPER preventive intervention dissemination trial were used to investigate associations between alcohol dehydrogenase genes and alcohol use across adolescence, and whether substance misuse interventions in the 6th and 7th grades (targeting parenting, family functioning, social norms, youth decision making, and peer group affiliations) modified associations between these genes and adolescent use. Primary analyses were run on a sample of 1,885 individuals and included three steps. First, we estimated unconditional growth curve models with separate slopes for alcohol use from 6th to 9th grade and from 9th to 12th grade, as well as the intercept at Grade 9. Second, we used intervention condition and three alcohol dehydrogenase genes, 1B (ADH1B), 1C (ADH1C), and 4 (ADH4) to predict variance in slopes and intercept. Third, we examined whether genetic influences on model slopes and intercepts were moderated by intervention condition. The results indicated that the increase in alcohol use was greater in early adolescence than in middle adolescence; two of the genes, ADH1B and ADH1C, significantly predicted early adolescent slope and Grade 9 intercept, and associations between ADH1C and both early adolescent slope and intercept were significantly different across control and intervention conditions.
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Rontauroli, Sebastiano, Sara Castellano, Paola Guglielmelli, Roberta Zini, Elisa Bianchi, Elena Genovese, Chiara Carretta, et al. "Gene expression profile correlates with molecular and clinical features in patients with myelofibrosis." Blood Advances 5, no. 5 (March 5, 2021): 1452–62. http://dx.doi.org/10.1182/bloodadvances.2020003614.
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Abstract Myelofibrosis (MF) belongs to the family of classic Philadelphia-negative myeloproliferative neoplasms (MPNs). It can be primary myelofibrosis (PMF) or secondary myelofibrosis (SMF) evolving from polycythemia vera (PV) or essential thrombocythemia (ET). Despite the differences, PMF and SMF patients are currently managed in the same way, and prediction of survival is based on the same clinical and genetic features. In the last few years, interest has grown concerning the ability of gene expression profiles (GEPs) to provide valuable prognostic information. Here, we studied the GEPs of granulocytes from 114 patients with MF, using a microarray platform to identify correlations with patient characteristics and outcomes. Cox regression analysis led to the identification of 201 survival-related transcripts characterizing patients who are at high risk for death. High-risk patients identified by this gene signature displayed an inferior overall survival and leukemia-free survival, together with clinical and molecular detrimental features included in contemporary prognostic models, such as the presence of high molecular risk mutations. The high-risk group was enriched in post-PV and post-ET MF and JAK2V617F homozygous patients, whereas pre-PMF was more frequent in the low-risk group. These results demonstrate that GEPs in MF patients correlate with their molecular and clinical features, particularly their survival, and represent the proof of concept that GEPs might provide complementary prognostic information to be applied in clinical decision making.
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Tu, Kuan-Chi, Tee-Tau Eric Nyam, Che-Chuan Wang, Nai-Ching Chen, Kuo-Tai Chen, Chia-Jung Chen, Chung-Feng Liu, and Jinn-Rung Kuo. "A Computer-Assisted System for Early Mortality Risk Prediction in Patients with Traumatic Brain Injury Using Artificial Intelligence Algorithms in Emergency Room Triage." Brain Sciences 12, no. 5 (May 7, 2022): 612. http://dx.doi.org/10.3390/brainsci12050612.
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Traumatic brain injury (TBI) remains a critical public health challenge. Although studies have found several prognostic factors for TBI, a useful early predictive tool for mortality has yet to be developed in the triage of the emergency room. This study aimed to use machine learning algorithms of artificial intelligence (AI) to develop predictive models for TBI patients in the emergency room triage. We retrospectively enrolled 18,249 adult TBI patients in the electronic medical records of three hospitals of Chi Mei Medical Group from January 2010 to December 2019, and undertook the 12 potentially predictive feature variables for predicting mortality during hospitalization. Six machine learning algorithms including logistical regression (LR) random forest (RF), support vector machines (SVM), LightGBM, XGBoost, and multilayer perceptron (MLP) were used to build the predictive model. The results showed that all six predictive models had high AUC from 0.851 to 0.925. Among these models, the LR-based model was the best model for mortality risk prediction with the highest AUC of 0.925; thus, we integrated the best model into the existed hospital information system for assisting clinical decision-making. These results revealed that the LR-based model was the best model to predict the mortality risk in patients with TBI in the emergency room. Since the developed prediction system can easily obtain the 12 feature variables during the initial triage, it can provide quick and early mortality prediction to clinicians for guiding deciding further treatment as well as helping explain the patient’s condition to family members.
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Varvounis, Nicolette, Jessica Frost, Jessica Stott, Emily Ward, Sophie Lefmann, Terry Boyle, and Kobie Boshoff. "Weekly versus fortnightly Allied Health early intervention for children with diagnosed/suspected developmental delay." Allied Health Scholar 1, no. 1 (July 26, 2020): 57–68. http://dx.doi.org/10.21913/tahs.v1i1.1570.
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Aim and background: Reviewing service provision is prudent for early childhood development teams to ensure efficient and high quality service delivery. The context of this study is an outpatient, clinic-based, Allied Health Early Intervention service, for children, aged 1-4years with diagnosed/suspected developmental delay and their families, which is currently provided fortnightly over 10-weeks. This study aimed to compare the impact on carer and clinician preferences, client outcomes and efficiencies such as attendance rates, of weekly versus fortnightly clinics. Methods: A prospective multi-informant, group comparison design was conducted comparing fortnightly interventions over 10-weeks and weekly interventions over 5-weeks. Intervention outcome data (Canadian Occupational Performance Measure), attendance rates and questionnaire data completed by clinicians and carers, were compared between the two frequency periods. Results: No statistically significant difference was found between both models for overall attendance rates or outcome measures (n=25 fortnightly, n=29 weekly). Carers’ (n=97) and clinicians’ (n=36) perceptions showed a variety of preferences. Carers suggested weekly was preferable for children who function well with routine, have shorter term goals and homework and for rapport building. Concerns for vulnerable families regarding a shorter contact period of 5-weeks with the weekly service, compared to 10-weeks (for fortnightly service), were identified by clinicians. Consistent feedback from carers was weekly over 10-weeks as the best option. Clinician themes included perception of increased workload with weekly and additional time needed to observe change for some children. Carers for both models articulated practical attendance barriers.
Conclusions: A flexible model of service frequency is recommended, to suit the needs of children and carers, aligning with clinicians’ clinical reasoning. Decision making considerations should include condition, type of therapy (need for intensity/longer period/routine/relationship building), family practicalities, family vulnerability and benefits of service contact time.
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del Cura-González, Isabel, Juan A. López-Rodríguez, Francisca Leiva-Fernández, Antonio Gimeno-Miguel, Beatriz Poblador-Plou, Fernando López-Verde, Cristina Lozano-Hernández, et al. "How to Improve Healthcare for Patients with Multimorbidity and Polypharmacy in Primary Care: A Pragmatic Cluster-Randomized Clinical Trial of the MULTIPAP Intervention." Journal of Personalized Medicine 12, no. 5 (May 6, 2022): 752. http://dx.doi.org/10.3390/jpm12050752.
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(1) Purpose: To investigate a complex MULTIPAP intervention that implements the Ariadne principles in a primary care population of young-elderly patients with multimorbidity and polypharmacy and to evaluate its effectiveness for improving the appropriateness of prescriptions. (2) Methods: A pragmatic cluster-randomized clinical trial was conducted involving 38 family practices in Spain. Patients aged 65–74 years with multimorbidity and polypharmacy were recruited. Family physicians (FPs) were randomly allocated to continue usual care or to provide the MULTIPAP intervention based on the Ariadne principles with two components: FP training (eMULTIPAP) and FP patient interviews. The primary outcome was the appropriateness of prescribing, measured as the between-group difference in the mean Medication Appropriateness Index (MAI) score change from the baseline to the 6-month follow-up. The secondary outcomes were quality of life (EQ-5D-5 L), patient perceptions of shared decision making (collaboRATE), use of health services, treatment adherence, and incidence of drug adverse events (all at 1 year), using multi-level regression models, with FP as a random effect. (3) Results: We recruited 117 FPs and 593 of their patients. In the intention-to-treat analysis, the between-group difference for the mean MAI score change after a 6-month follow-up was −2.42 (95% CI from −4.27 to −0.59) and, between baseline and a 12-month follow-up was −3.40 (95% CI from −5.45 to −1.34). There were no significant differences in any other secondary outcomes. (4) Conclusions: The MULTIPAP intervention improved medication appropriateness sustainably over the follow-up time. The small magnitude of the effect, however, advises caution in the interpretation of the results given the paucity of evidence for the clinical benefit of the observed change in the MAI. Trial registration: Clinicaltrials.gov NCT02866799.
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Jezierski, Walery, and Beata Sadowska. "Optimization of the Selected Parameters of Single-Family House Components with the Estimation of Their Contribution to Energy Saving." Energies 15, no. 23 (November 22, 2022): 8810. http://dx.doi.org/10.3390/en15238810.
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Knowledge of the influence of factors determining energy consumption in buildings is very important for the possibility of effective energy saving. This article describes the results of an original study on the analysis of the annual energy demand for heating (QH;nd), cooling (QC;nd), and annual usable energy demand (QH/C;nd = QH;nd + QC;nd) assumed as objective functions of a designed single-family building, which can be classified as a typical representative of currently built houses in Poland. It was assumed that the object of study was located in the climatic conditions of north-eastern Poland. The study takes into consideration three groups of selected parameters: architectural/spatial, structural, and physical properties of windows. The research was carried out in a single-family building, as energy consumption in residential buildings accounts for a significant part of the total energy consumption in buildings. In the group of architectural/spatial parameters, the height of rooms in the building (h) and the window area change coefficient (k) were taken into consideration. The design parameters pertained to the solutions of building components: the density of the material of the inner layer of the external walls (ρ1), the density of the material of internal walls (ρ2), and the thickness of internal walls (d). In the third group of parameters, the heat transfer coefficient of the glazing (Ug) and the total solar transmittance of the glazing (g) were considered. Deterministic mathematical models of these dependencies were developed on the basis of the results of a computational experiment, obtained by performing a simulation with the use of the DesignBuilder software, based on the EnergyPlus computational engine. The models allowed the authors to estimate the degree and nature of the influence of the examined factors on the building’s energy demand. As a result of the optimization of parameters according to the energy criterion, the contribution of each of the three groups of parameters to energy saving was determined. Deterministic numerical optimization using MATLAB was applied. It turned out that the factors from the first group played the most important role in energy savings (40.0%), and the factors from the third group contributed slightly less (25.7%). The contribution of the characteristics from the second group was 4.2% of the total value of energy saving. This information can be useful to scientists, as well as engineers and policymakers, in making correct decisions when designing new residential buildings.
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Barbato, A. "Effective strategies for health information, self-help and psychoeducation in bipolar disorder." European Psychiatry 26, S2 (March 2011): 2214. http://dx.doi.org/10.1016/s0924-9338(11)73917-7.
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IntroductionMany patients with bipolar disorders do not achieve clinical and functional recovery, even with good pharmacotherapy compliance. The influence of patients’ attitudes, behavior, subjective state and interpersonal environment on course of the disorder points out the importance of psychosocial interventions and patients’ active role to improve outcome.MethodsA survey of recent guidelines, systematic reviews and clinical trials of psychosocial interventions for bipolar disorders was performed.ResultsResearch evidence supports the efficacy and likely effectiveness of a number of psychosocial treatments: Individual and group psychoeducation, family-focused therapy, interpersonal and social rhythm therapy, cognitive behavior therapy. The lower cost and potential ease of dissemination of group psychoeducation suggest that this should be the first-line approach, with more complex interventions reserved to selected subgroups of patients. The following elements should be included in a basic psychoeducation package: information about the disorder and available treatment options, identification of early warning signs, encouragement of structured routines and healthy lifestyles, use of a mood diary and life-event charting to monitor mood patterns and effectiveness of intervention, improvement of communication skills, emotional self-regulation and social skills, reduction of self-stigmatization, stabilization of sleep/wake cycles, awareness of medication effects and improvement of decision-making skills on drug treatment in a collaborative way, acquisition of balanced attitudes towards the self in relation to the illness.ConclusionThe introduction of psychoeducation interventions with a focus on self-help strategies and patients empowerment and the adaptation of research models to everyday practice, can improve the outcome of bipolar disorders in real world.
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Et al., Rungtip Thaisom. "Marketing Activity Models Affecting Behaviour of Social Media Detox Groups in the Bangkok Metropolitan." Psychology and Education Journal 58, no. 1 (January 16, 2021): 3859–63. http://dx.doi.org/10.17762/pae.v58i1.1420.
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The purpose of this research is to study patterns of marketing activities that affect behavior of social media detox group which variables consist of demographic characteristics motivation factors, behavioral science factors, cognitive factors, and interest factors. In this research, a descriptive research study was conducted. The sample used in this research was the populations of Bangkok Metropolitan with social media detox behaviors of 400 people. Using the sampling method, which is cluster random sampling. The use of survey tools for data collection was by questionnaires. The research results were found that most of the respondents were female, aged 34-42 years with a bachelor's degree, occupation as a private company employee earning an average monthly income of 10,000-20,000 baht. The reason for a social media detox is to spend free time with family or peers. The reason to choose an alternative social media detox app as a way to find inspiration. An alternative app format for social media detoxes group because it is a motivational application. Internal stimulus that influences the motivation of a social media detox is because of emotional and emotional balance. External stimulus that influences social media motivation to detox is because of the changing technology. How to do a social media detox of a social media detox group is to look for other activities instead of choosing to view products or services on the ads of the social media detox group, choose to view products that search about Food / Drink. Most social media detox group of online advertising perception channels are perceived through social media. Most of the social media detox channels of online advertising perception are through television. Friends are the influencers of social media detox advertisement viewing. Reasons to watch social media detox advertisement as a guide to making decisions before purchasing alternative applications that social media detox groups have as an entertainment application. The survey takers spent the night (7.01 p.m.-11.00 p.m.) using an alternative application of the social media detox group. The usage period of the alternative social media detox application is 30 minutes-1 hours. The frequency of use of alternative social media detox applications is less than 10. Online advertising is affecting the behavior of detox social media group. Various applications offline advertisement is predominantly from the television. The use of sales representatives had the greatest effect on the behavior of social media detox group. Social and environmental responsibility activities have the greatest impact on the behavior of the detox social media group. Direct marketing using internet media can influence the behavior of social media detox groups. The sale/ giveaway will help promote sales, and the choice of entertainment applications will be able to generate the interest of the detox social media group.
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Krishnamurthi, Lakshman. "Conjoint models of family decision making." International Journal of Research in Marketing 5, no. 3 (January 1988): 185–98. http://dx.doi.org/10.1016/0167-8116(88)90039-0.
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Foss, Mary, with Andrée le May, and Mary Gobbi. "The development and testing of a co-designed distance learning programme to improve the knowledge of trained auxiliary nurse midwives in normal midwifery practice in central India." Journal of Research in Nursing 25, no. 6-7 (September 2020): 541–58. http://dx.doi.org/10.1177/1744987120952836.
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Background In the Indian State of Madhya Pradesh maternal health is poor, and women’s social status is low. For some women, autonomy and decision-making within the family is limited as they seek medical treatment through their husband or father-in-law. The then state government identified a need to strengthen midwifery care given by auxiliary nurse midwives to improve maternal and neonatal health.>* Methods This cross-cultural, two phase study was designed in partnership with an Indian non-governmental organisation, utilising Elliot’s action research model within the paradigm of critical theory. Phase 1 investigated the then current situation and established a potential solution to strengthening midwifery practice within Madhya Pradesh. This comprised an educational approach using a specifically designed self-directed distance learning programme focussing on normal pregnancy and childbirth. The distance learning programme was a hard copy workbook supported by a multimedia resource informed by the Rowntree and Analysis Design Development Implementation Evaluation models of educational material development. Phase 2 involved the use and evaluation of the distance learning programme with an initial primary group sample of 28 comprising auxiliary nurse midwives (22), lady health visitors (4) and staff nurses (2) in Madhya Pradesh. Fourteen auxiliary nurse midwife participants completed knowledge tests using a pre- and post-programme multiple choice question paper. This primary group negotiated a 3-day workshop to cover identified gaps within their original 12-week study period. Nineteen additional auxiliary nurse midwife participants joined this workshop (group 2). Results The multiple choice question test results indicated that the first group had poor knowledge of the normal process of pregnancy and childbirth. After the workshop, they marginally improved their personal performance scores. The second group demonstrated greater change, which suggests that coupling self-directed guided study material with an enabling, face-to-face environment can be successful. Conclusions Distance learning among auxiliary nurse midwives in central India may be enhanced when accompanied by face-to-face workshops. Partnership working – at organisational, team and individual levels, was a crucial, and empowering, component of this cross-cultural action research study. Both points have relevance for others undertaking similar studies.
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Wahyuni, Sari, Desy Setiawati, Elga Mardani, Siti Hindun, and Nia Clarasari Mahalia Putri. "SHARED DECISION-MAKING MODEL: DECISION MAKING OF LONG-TERM CONTRACEPTION METHOD." JPP (Jurnal Kesehatan Poltekkes Palembang) 17, no. 2 (December 31, 2022): 266–72. http://dx.doi.org/10.36086/jpp.v17i2.1479.
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Backgroud: Family planning is an effort to increase awareness and participation in realizing a happy and prosperous small family. The efforts by the National Population and Family Planning Agency to reduce Maternal Mortality Ratio in Indonesia are by increasing family planning participation and use the Long-Term Contraception Method through fertility regulation in family planning policies implemented to assist married couple on decision making, the shared decision-making is one of model that can be used by health care providers for helping patients make a health decision.
Purpose: Known the influence of shared decision-making model on decision making of long- term contraception method at the BPM and RB in Palembang City in 2020.
Methods: The study uses a pre experimental design with a static group comparison design. The samples were took by accidental sampling technique, which 80 respondents were divided into 40 respondent in the control group and 40 other respondents in the experiment group.
Results: Based on univariat results in the control group it was found that the majority of mothers (72,5%) chose to continue using current contraception and in experiment group there were 12 mothers (30%) who chose and had used long-term contraception. The results of statistic analysis using the Chi-Square test with a significance level of 5% obtained the results of Pearson Chi-Square p = 0,002 which means the shared decision-making model has influence on decision making of long-term contraception method at the BPM and RB in Palembang City.
Conclusion: There is a significant the influence of shared decision-making model on decision making of long-term contraception method at the BPM and RB in Palembang City in 2020
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Ural, Ozlem, Soheyda Gokturk, and Oguzhan Bozoglu. "Assessment of the Ethical Orientations of Turkish Teachers." International Journal of Evaluation and Research in Education (IJERE) 6, no. 2 (June 1, 2017): 183. http://dx.doi.org/10.11591/ijere.v6i2.6339.
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Students’ development in terms of values, moral education and character is crucial for the culture of any society. Considering that these are gained through family and school, school principals and teachers can be the key players. Even if teachers do not deliberately act as models or ethic agents, or their main purpose is not merely ethical education, they still affect the students directly and indirectly. Therefore, exploration of their ethical decisions and what orientations guide them in making those ethical decisions is highly important. In this regard, teachers’ ethical orientation is worth measuring. In this study, Ethical Position Questionnaire [1], which has so far been commonly used to explore ethical orientations of a variety of professionals and cultural groups was translated into Turkish; and validity and reliability study was applied on teachers. Research group consisted of 251 primary school teachers working in state schools located in Kocaeli province, Turkey. To identify the construct validity of Ethical Position Questionnaire (EPQ), factor analysis was conducted. The analysis revealed that EPQ is two factor-structured and these factors explain 45% of the variance. Cronbach’s Alpha internal consistency reliability assessed for the total items of Turkish version of EPQ was .81 and for the first subscale –idealism-, for the second scale –relativism- was found .84 and .86 respectively. In conclusion, The Turkish version of Ethical Position Questionnaire was identified as a valid and reliable research tool to assess ethical positions of primary school teachers.
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Kimura, Margot, and Jeff Moehlis. "Group Decision-Making Models for Sequential Tasks." SIAM Review 54, no. 1 (January 2012): 121–38. http://dx.doi.org/10.1137/10079700x.
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Aeni, Heni Fa'riatul, and Yuniah Sunaryo. "FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEPUTUSAN PASIEN DALAM MEMILIH PELAYANAN RAWAT INAP." Jurnal Kesehatan 5, no. 1 (April 28, 2020): 449–63. http://dx.doi.org/10.38165/jk.v5i1.158.
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Menurut Anderson R (1968) dalam behavioral model of families use of health services, perilaku orang sakit berobat ke pelayanan kesehatan secara bersama-sama dipengaruhi oleh faktor predisposisi (usia, jenis kelamin, pendidikan, pekerjaan), faktor pemungkin (ekonomi keluarga, akses terhadap sarana pelayanan kesehatan yang ada dan penanggung biaya berobat) dan faktor kebutuhan (kondisi individu yang mencakup keluhan sakit).Penurunan utilisasi atau jumlah pasien rawat inap yang jika dibandingkan pada semester 1 tahun 2013 (bulan Januari 2013 sampai dengan Juni 2013) dengan semester 1 tahun 2012 (bulan Januari 2012 sampai dengan Juni 2012) menunjukan penurunan sebanyak 0,87%. Penelitian ini bertujuan untuk mengetahui factor-faktor yang berhubungan dengan keputusan pasien rawat inap dalam memilih pelayanan rawat inap di RS Pertamina Cirebon tahun 2014. Jenis penelitian yang digunakan adalah penelitian kuantitatif dengan desain penelitian cross sectional dengan populasi penelitian adalah seluruh pasien rawat inap dalam satu bulan sebanyak 492, sedangkan jumlah sampel yang diambil sebanyak 100 dengan metode pengambilan non random sampling yang menggunakan teknik quota sampling. Hasil penelitian diperoleh bahwa faktor karakteristik pasien yang memiliki hubungan dengan keputusan pasien untuk memilih pelayanan rawat inap hanya karakteristik sosial pengaruh kelompok acuan, sedangkan faktor karakteristik pasien (pendidikan, pekerjaan, keadaan ekonomi, dan cara pembayaran), faktor sosial keluarga, faktor budaya tidak ada hubungan dengan keputusan untuk memilih pelayanan rawat inap. Faktor psikologi pasien yang memiliki hubungan dengan keputusan untuk memilih pelayanan rawat inap hanya persepsi terhadap bauran pemasaran SDM dan proses, sedangkan faktor lainnya seperti motivasi, pembelajaran, bauran produk, harga, tempat, promosi, dan bukti fisik tidak ada hubungan dengan keputusan untuk memilih pelayanan rawat inap di RS Pertamina Cirebon.Kata Kunci : karakteristik pasien, psikologi, keputusan pasien ABSTRACTAccording to Anderson R (1968) in behavioral models of families use of health services, the behavior of the sick medical treatment to the ministry of health jointly influenced by predisposing factor (age, gender, education, employment), enabling factor (economi families, access to the means of the existing health services and treatment costs of the insures), and the reinforcing factors (condition of the individual that includes complaints of pain). Utilization decline or in-patient number that when compared in semester of 1 years 2013 (January 2013 inclusive Juni 2013) with semsester of 1 years 2012 (January 2012 inclusive Juni 2012) shows declineas much 0,87%. This research aimed to know factors that related to in-patient decision in selecting service in-patient in Rumah Sakit Pertamina Cirebon years 2014. Research used inquantitative with cross sectional with a population was all patients hospitalized in one month as much as 492, while the number of samples taken as many as 100 by the method of making non-random sampling using quota sampling technique. The results showed that the factor characteristics of patients who have a relationship with the patient’s decision to choose inpatient services only social characteristics influence the reference group, while the factor of patient characteristics (education, employment, economic conditions, and method of payment), family social factors, cultural factors do not exist relationship with the decision to choose inpatient services. Psychological factors of patients who have a relationship with the decision to choose in patient only the perception of the marketing mix of human resources and processes, while other factors such as motivation, learning, product mix, price, place, promotion, and physical, evidence of no association with the decision to choose a service pertamina hospital patient in Cirebon.Keywords : patient characteristics, psychology, patient decision.
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McGrath, Jim. "Family Group Conferencing. Involving the Wider Family in Child Protection Decision Making." MINORIGIUSTIZIA, no. 1 (June 2016): 113–24. http://dx.doi.org/10.3280/mg2016-001013.
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Beckingham, Ann C., and Andrea Baumann. "The ageing family in crisis: assessment and decision-making models." Journal of Advanced Nursing 15, no. 7 (July 1990): 782–87. http://dx.doi.org/10.1111/j.1365-2648.1990.tb01907.x.
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Ban, Paul, and Phillip Swain. "Family Group Conferences, part two: Putting the ‘family’ back into child protection." Children Australia 19, no. 4 (1994): 11–14. http://dx.doi.org/10.1017/s103507720000417x.
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This is the second of two articles examining the establishment of Family Decision Making in Victoria. The first ‘Family Group Conferences – Part One: Australia's first Project in Child Protection’ was presented in the previous edition of Children Australia. This article builds upon the first by presenting an overview of the evaluation of the Victorian Family Decision Making Project, and pointing to practice and other implications of the development of this Project for child welfare services generally.
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Goldfarb, Shari B., Volkan Turan, Giuliano Bedoschi, Nadia Abdo, Cassandra Chang, heejung Bang, and KUTLUK H. OKTAY. "Abstract P6-05-02: PRESENCE OF BRCA MUTATIONS AND PRE-CHEMOTHERAPY SERUM ANTI-MULLERIAN HORMONE LEVELS PREDICT RISK OF AMENORRHEA IN WOMEN WITH BREAST CANCER." Cancer Research 83, no. 5_Supplement (March 1, 2023): P6–05–02—P6–05–02. http://dx.doi.org/10.1158/1538-7445.sabcs22-p6-05-02.
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Abstract OBJECTIVE: The likelihood of post-chemotherapy (ChT) amenorrhea is still empirically determined. Our aim was to determine the predictors of amenorrhea risk post- ChT in women with breast cancer(ca). As acute amenorrhea (< 12mo post-ChT) can be temporary, we used amenorrhea status 12 and 18 months post-ChT as the primary endpoint. MATERIALS AND METHODS: 102 women aged 18-44, with regular cycles and stage I-III breast ca were prospectively and longitudinally followed for their menstrual pattern changes at 6, 12, and 18mo after the completion of adjuvant ChT with an Anthracycline-Cyclophosphamide-based (AC) or Cyclophosphamide-Methotrexate +5-Fluorouracil regimen on an IRB-approved protocol. Prior ChT, ovarian surgery, pelvic RT, family history of POI, and infertility diagnosis were the exclusion criteria. AMH was measured pre- and immediately post- ChT. Amenorrhea was defined as no bleeding for 4 consecutive cycles. Preand/or post-ChT AMH levels, age and BMI at the onset of ChT, BMI, tamoxifen use, regimen type (AC-based vs. not), and BRCA mutation (m) status (positive vs. not) were evaluated for the prediction of amenorrhea risk. RESULTS: In multivariable-adjusted logistic regression models, age (p=0.03) and AMH (p=0.03) were significant predictors of amenorrhea at 12mo, and BRCAm status (p=0.03) at 18 mo; these models yielded areas under the ROC curve of 0.77 and 0.76, respectively. An undetectable AMH post-ChT was best predictive of amenorrhea with shorter follow-up, but not at 18mo. In longitudinal analysis (with data at 0, 6, 12, and 18 months) estimating ‘time-trends’, a baseline AMH < 2.0 ng/ml (optimal cut-off from ROC curve) and BRCAm status were associated with the risk of amenorrhea. The baseline AMH ≥2.0 group showed attenuated time-trend vs. the AMH < 2.0 ng/ml group (ratio of ORs=0.91, 95% CI=0.86-0.97, p=0.002), while the BRCA-positive group showed a steeper time-trend in the odds ratio (OR) of amenorrhea, compared to the non-positive group (ratio of ORs=1.12,95% CI=1.04-1.20, p=0.003) (Table 1). Sensitivity analyses demonstrated the robustness of these findings, for example, yielding an 8-10% increased risk of amenorrhea for BRCAm carriers, with p-values of 0.008- 0.04. CONCLUSIONS: Age, pre-and post-ChT AMH levels, and BRCAm status are potential predictors of amenorrhea at 12 and 18mo post-ChT. These predictors may help better guide fertility preservation decision-making in women with breast ca. The higher likelihood of amenorrhea in women with BRCAm suggests that they may be more prone to lose their ovarian function post-ChT and should be accordingly counseled. Table 1. Longitudinal analysis at 0, 6, 12 and 18 months for the difference in amenorrhea trend between groups dichotomized by baseline factors. Citation Format: Shari B. Goldfarb, Volkan Turan, Giuliano Bedoschi, Nadia Abdo, Cassandra Chang, heejung Bang, KUTLUK H. OKTAY. PRESENCE OF BRCA MUTATIONS AND PRE-CHEMOTHERAPY SERUM ANTI-MULLERIAN HORMONE LEVELS PREDICT RISK OF AMENORRHEA IN WOMEN WITH BREAST CANCER [abstract]. In: Proceedings of the 2022 San Antonio Breast Cancer Symposium; 2022 Dec 6-10; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2023;83(5 Suppl):Abstract nr P6-05-02.
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Berzin, Stephanie Cosner, Karen L. Thomas, and Ed Cohen. "Assessing Model Fidelity in Two Family Group Decision-Making Programs." Journal of Social Service Research 34, no. 2 (December 17, 2007): 55–71. http://dx.doi.org/10.1300/j079v34n02_05.
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Lambert, Matthew C., Leah E. Johnson, and Eugene W. Wang. "The impact of family group decision-making on preventing removals." Children and Youth Services Review 78 (July 2017): 89–92. http://dx.doi.org/10.1016/j.childyouth.2017.05.005.
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López-Morales, Virgilio, and Joel Suárez-Cansino. "Reliable Intervals Method in Decision-Based Support Models for Group Decision-Making." International Journal of Information Technology & Decision Making 16, no. 01 (January 2017): 183–204. http://dx.doi.org/10.1142/s0219622016500498.
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In this paper, a methodology to derive reliable intervals for multiplicative preference relations (or pairwise comparison matrices) satisfying consistency and consensus indexes is introduced. Our approach is proposed via a combination of numerical algorithms and a nonlinear optimization algorithm. A synthesis of reliable intervals is achieved, where group decision makers show evidence of these intervals to express flexibility in the manner of their preferences, while accomplishing some a priori decision targets, rules and advice given by their current framework. The algorithms are applied to some examples in order to illustrate our results and compare them with other methodologies.
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MEEKER, MARY ANN, and MARY ANN JEZEWSKI. "Family decision making at end of life." Palliative and Supportive Care 3, no. 2 (June 2005): 131–42. http://dx.doi.org/10.1017/s1478951505050212.
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Objective: To enhance understanding of the phenomenon of family surrogate decision-making at the end of life (EOL) by means of a systematic review and synthesis of published research reports that address this phenomenon.Methods: Garrard's (1999) methods for conducting a systematic review of the literature were followed. Fifty-one studies focusing on family decision-making experiences, needs, and processes when assisting a dying family member were selected following electronic database searches and ancestry searches.Results: In studies using hypothetical scenarios to compare patients' choices and surrogates' predictions of those choices, surrogates demonstrated low to moderate predictive accuracy. Increased accuracy occurred in more extreme scenarios, under conditions of forced choice, and when the surrogate was specifically directed to use substituted judgment. In qualitative explorations of their perspectives, family members voiced their desire to be involved and to accept the moral responsibility attendant to being a surrogate. Quality of communication available with providers significantly influenced family satisfaction with decision-making and EOL care. Group or consensual decision-making involving multiple family members was preferred over individual surrogate decision-making. Surrogates experienced long-term physical and psychological outcomes from being decision-makers.Significance of results: Functioning as a surrogate decision-maker typically places great moral, emotional, and cognitive demands on the family surrogate. Clinicians can provide improved care to both patients and families with better understanding of surrogates' needs and experiences.
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Mashego, Maite Sara. "Lone ranger decision making versus consensus decision making: Descriptive analysis." Journal of Governance and Regulation 4, no. 4 (2015): 548–52. http://dx.doi.org/10.22495/jgr_v4_i4_c4_p12.
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Consensus decision making, concerns group members make decisions together with the requirement of reaching a consensus that is all members abiding by the decision outcome. Lone ranging worked for sometime in a autocratic environment. Researchers are now pointing to consensus decision-making in organizations bringing dividend to many organizations. This article used a descriptive analysis to compare the goodness of consensus decision making and making lone ranging decision management. This article explored the models, roles, tools and methods of consensus decision making. The results were that consensus decision making brings people together and cements the relationship among employees. The lone ranger’s decision is only consented to by staff but inwardly disagreeable resulting in short term benefits but long term collapse of organizations.
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Yue, Chuan. "Two normalized projection models and application to group decision-making." Journal of Intelligent & Fuzzy Systems 32, no. 6 (May 23, 2017): 4389–402. http://dx.doi.org/10.3233/jifs-16537.
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Duan, Rong, Qing Bang Han, and Zuo Wang. "Multi-Attribute Group Decision Making Models under Intuitionistic Fuzzy Environment." Applied Mechanics and Materials 263-266 (December 2012): 3225–29. http://dx.doi.org/10.4028/www.scientific.net/amm.263-266.3225.
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In order to solve the problem of multi-attribute group-decision making with the elements of evaluation matrix are intuitionistic fuzzy sets, this paper offers corresponding TOPSIS models based on the information entropy weights and examples to be verified. The examples show the feasibility and effectiveness of the proposed models.
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Sun, Lei, Hui Tian, and Ping Zhang. "Decision-making models for group vertical handover in vehicular communications." Telecommunication Systems 50, no. 4 (December 10, 2010): 257–66. http://dx.doi.org/10.1007/s11235-010-9402-3.
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Vesneski, William. "Street-level bureaucracy and family group decision making in the USA." Child & Family Social Work 14, no. 1 (February 2009): 1–5. http://dx.doi.org/10.1111/j.1365-2206.2008.00573.x.
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McCrae, Julie S., and Rachel A. Fusco. "A racial comparison of Family Group Decision Making in the USA1." Child & Family Social Work 15, no. 1 (January 5, 2010): 41–55. http://dx.doi.org/10.1111/j.1365-2206.2009.00636.x.
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Tira, Deviarbi Sakke. "Decision making on family level in having treatment." International journal of health sciences 3, no. 1 (April 30, 2019): 24–32. http://dx.doi.org/10.29332/ijhs.v3n1.303.
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The purpose of this study was to find out how decisions were made at the family level in order to seek treatment for family members, especially mothers during childbirth. The population in this study were community members who resided in Ngada, Southwest Sumba, North Central Timor and East Flores- Indonesia. The sample size was determined using a purposive technique, where each district was determined by two locations based on the distance factor (the farthest area and the nearest area) from the capital city of the district. Data were collected using in-depth interview techniques and Focused Group Discussions (FGD) to explore family-level decision-making processes regarding the use of health facilities. The results of this study indicate that decisions at the family level to use health facilities in areas far from the city center tend to still adhere to local traditions and local culture; and it should be based on relatives' advice; while the people who live close to the city center, the decision to use health facilities is generally in the hands of the mother and husband.
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Stan, Anca. "GROUPS DECISION MAKING WITHIN THE ORGANIZATION." STUDIES AND SCIENTIFIC RESEARCHES. ECONOMICS EDITION, no. 13 (December 17, 2008): 94. http://dx.doi.org/10.29358/sceco.v0i13.29.
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In a highly global market, organizations that have the ability to analyze and rapidly respond to the constantly changing marketplace will have the greatest chance of remaining competitive and profitable. Group decision making is the process of arriving at a judgment based upon the feedback of multiple individuals. Due to the importance of the group decision making process, decision making models can be used to establish a systematic means of developing effective group decision making. Once a decision has been made, the members of the group should be willing to accept it and support its implementations.
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YU, Xiaohan, Zeshui XU, and Shousheng LIU. "SYSTEMATIC DECISION MAKING: A EXTENDED MULTI-CRITERIA DECISION MAKING MODEL." Technological and Economic Development of Economy 23, no. 1 (January 22, 2017): 157–77. http://dx.doi.org/10.3846/20294913.2016.1212121.
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Considering some complex multi-criteria decision making (MCDM) problems, in which decision environment is dynamic, there are various interdependences among criteria, and plans (systematized alternatives) consisting of multiple time sequential interdependent actions, cannot be well handled by means of the existing MCDM methods, therefore, we develop a systematic decision making (SDM) as an improvement and supplement of the classic MCDM in this paper. The SDM is for prescribing methods of evaluating and selecting the most favourite plan (a system) from a group of feasible ones concerning influences of time-varying criteria system under dynamic external environment. Through detailed analysis, we separate a SDM problem into multi-period MCDM subproblems, and then a plan can be a combination of time sequential strategies in which each strategy (a subset of actions) is a feasible decision choice of corresponding MCDM sub-problem. After clarifying variety of interdependences, interactions and interrelationships in the SDM problems, such as criteria-interdependences, action-interdependences, interactions between criteria and criteria system, interactions between actions and strategies, interactions between strategies and plans, interactions between internal environment (criteria system) and external environment, feedbacks from external environment to the corresponding MCDM sub-problems, and interrelationships among MCDM sub-problems and so on, we transform the SDM into multi-period interrelated MCDM model which can be dealt with more easily by using multiple optimization models. At the end of the paper, three typical properties of the SDM are proposed and most of the existing MCDM models are pointed out as special cases of the SDM.
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Tripathy, B. K., T. R. Sooraj, R. K. Mohanty, and Abhilash Panigrahi. "Group Decision Making Through Interval Valued Intuitionistic Fuzzy Soft Sets." International Journal of Fuzzy System Applications 7, no. 3 (July 2018): 99–117. http://dx.doi.org/10.4018/ijfsa.2018070106.
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This article describes how the lack of adequate parametrization in some of the earlier uncertainty based models like fuzzy sets, rough sets motivated Molodtsov to introduce a new model in soft set. A suitable combination of individual models leads to hybrid models, which are more efficient than their individual components. So, the authors find the introduction of many hybrid models of soft sets, like the fuzzy soft set (FSS), intuitionistic fuzzy soft sets (IFSS), interval valued fuzzy soft set (IVFSS) and the interval valued intuitionistic fuzzy soft set (IVIFSS). Following the characteristic function approach to define soft sets introduced by Tripathy et al., they re-define IVIFSS in this article. One of the most attractive applications of soft set theory and its hybrid models has been decision making in the form of individual decision making or group decision making. Here, the authors propose a group decision making algorithm using IVIFSS, which generalises many of our earlier algorithms. They compute its complexity and establish the computation experimentally with graphical illustrations.
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Hamdani, Hamdani, Retantyo Wardoyo, and Khabib Mustofa. "Weighting Model for Group Decision Support System: A Review." Indonesian Journal of Electrical Engineering and Computer Science 11, no. 3 (September 1, 2018): 962. http://dx.doi.org/10.11591/ijeecs.v11.i3.pp962-974.
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This paper was conducted a survey of research findings related to decision-making in groups using weighting techniques This paper conducts a survey of research findings related to decision-making in groups using weighting techniques, therefore, a new weighting model can be proposed.. In order to make a decision, this model works based on the weighting parameters, criteria or decision makers (DM) to give ranking preference in the decision results. Weighting could be done objectively or subjectively by statistical calculations. Subjective weighting based on an understanding or expertise of the decision-making process, furthermore, a numerical value was needed to make it objective. The previous weighting models need to be modified for the development of group decision support systems (GDSS). It is required to accommodate the interests of all stakeholders to link the DM relationship. We formed several groups of weighting methods that currently use for the trend of group decision-making (GDM). It showed that the classical multi-criteria decision-making (MCDM) models are still dominant in solving GDSS problems, therefore, it was necessary to apply hybrid MCDM with an approach method of stakeholders models and social networks (SN) to improve decision model that has been applied in the previous research.