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1
Muzire, Mufudzi. "An outcome evaluation of the Home-School partnership programme." Master's thesis, University of Cape Town, 2018. http://hdl.handle.net/11427/29834.
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This is an outcomes evaluation of the Home-School Partnership (HSP) programme, implemented by Wordworks, an organisation based in the Western Cape Province. The programme aims to improve language and literacy for the children between four and eight years of age. To achieve this, the programme seeks to integrate parents in the process of child learning at home. The programme sensitise parents and make them realise their important role in child development. South Africa’s averages of numeracy and literacy test scores range from 30% to 35% as presented in Annual National Assessments (2011) for Grade one to six. The low language and literacy performance in South Africa is one problem that calls for action from different stakeholders. The implementing organisation train teachers to become facilitators. The facilitators will then cascade the training to parents with children aged four to eight years. This evaluation focused on addressing three evaluation questions:
1. How do teachers (facilitators) perceive the programme to have impacted on students’ literacy learning and achievement in and out of school, in terms of participation, confidence and self-esteem?
2. To what extent has the Home-School Partnership programme managed to change parents’ attitude towards child learning and improved their involvement in child learning at home?
3. What early indications are there to suggest that the Home-School Partnership programme will be sustainable after Wordworks has fully withdrawn its support?
In this evaluation, a descriptive design was used. The design employed a quantitative approach to address question one as secondary data from 90 feedback reports by teachers were analysed using Microsoft excel. The data to answer the second evaluation question was gathered through interviews with six teachers and six school management members. Data from three focus group discussions with parents was used to address evaluation question three. In analysing the data, thematic analysis was used which involved the processes of open coding in generation of themes.
The results of the study revealed a positive improvement of learners’ performance on various indicators that are related to child language and literacy development. Ninety percent of the 90 sampled learners showed a positive change in at least one of the several academic assessment areas. That is, 46% of learners showed some notable improvements in writing, 32% in drawing, 31% in reading and about 30% showed some improvement in vocabulary. However, these results should be interpreted with some degree of caution as the analysis was based on subjective teachers’ perceptions. Regardless of the drawbacks of the design and data collection methods, there is a growing amount of evidence from other studies to validate the findings of this study. There were some positive changes noted in parents particularly their attitude towards child learning. Parents are now more involved in child learning and have gained some important skills to support child development. However, the results need to be taken with caution as they are based on subjective perceptions of parents. There was always an increase in the number of parents who enrolled for the programme each year and more interestingly, men started enrolling for the programme in the last two years. In 2016, a total of 42 men were trained and in 2017, a total of 86 men were trained under HSP. This provides some evidence of the ability of the HSP programme to change parents’ attitude towards child learning. The HSP programme shows some signs of sustainability particularly around environmental support and organisational domains. In this regard, results of the study revealed that the HSP programme has managed to garner support from its operational environment. The programme is particularly applauded by teachers, school leadership and parents, and their appreciation is one of the indicators of sustainability. Under organisational support, the study revealed that the teachers and parents are satisfied with the timely support they are receiving from Wordworks. However, there are some gaps around programme evaluation and funding stability domains. All the schools are still fully receiving financial support from Wordworks to facilitate the HSP programme. Based on the study findings it is prudent that Wordworks prepares schools for continuity in the event that their support is withdrawn and a more robust monitoring and evaluation system needs to be put in place. It is recommended that the programme documents more success stories to showcase its relevance.
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Pocock, Robin. "Evaluating the training and supervision of home visitors in a Parent-Infant Home Visitation Programme." Master's thesis, University of Cape Town, 2009. http://hdl.handle.net/11427/11272.
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The training and supervision of home visitors for the Parent Centre's Parent-Infant Home Visitation Programme (PIHVP) was evaluated. The evaluation aimed to determine whether training and supervision prepared the home visitors to deliver the PIHVP as intended. The supervision questionnaire measured home visitors' views on the extent to which group and individual supervision fulfil their educative, supportive and administrative functions, and the extent to which they felt supervision prepared them for visits. The training questionnaire asked them to rate the extent of their home visiting skills and knowledge a) before training and b) immediately after training. Interviews were also conducted with 27 past programme recipients, during which they were asked a) in which areas their home visitor assisted them, b) which assistance they found most useful and c) if there were any other areas in which they would like to have been assisted.
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Booth, Nichola. "The impact of parental involvement in a home-based ABA programme." Thesis, Ulster University, 2016. https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.766967.
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As the prevalence rate of Autism Spectrum Disorder (ASD) continues to increase, more and more interest is being given to training the parents of children diagnosed with the disability so that they can become effective parent therapists. This thesis investigated different parent training options, focusing on a variety of skills. The aim was to understand which contingencies are relevant for effective parent training and generalisation of acquired skills. In Study 1 a questionnaire was cascaded to parents of individuals in Northern Ireland with an ASD diagnosis to understand the services and support provided following the diagnosis and to determine which services, if any, were lacking. Results showed that parents in Northern Ireland desired effective behavioural help which was not forthcoming from statutory services. From these findings Study 2 investigated the impact of a four-week intensive parent training course in the principles of behaviour analysis and strategies derived from these principles for teaching new skills and changing behaviour. Results showed that all participants, when compared to baseline data, had an increase in their understanding of behavioural principles. Lessons from Study 2 informed the design of Study 3. This time the training intensity was reduced to 10 1-hour session or 5 2-hour sessions to determine whether attendance was more consistent than was observed in Study 2. Both training events augmented the findings of those in Study 2, with all participants increasing their understanding of key behavioural principles while attendance at both events was consistent. Studies 4 and 5 examined the effectiveness of a one-day training event that focused on one behavioural technology to teach new skills. Results from Study 4 showed that all participants were able to break a skill down into the specific components and from understanding of the task analysis procedure could teach new skills. Data from Study 5 showed that traditional methods of educating adults may not be the most effective. Three conditions were used to teach parents to identify mistakes in the Discrete Trial Teaching method. The superior condition included an Animation, devised specifically for explaining Discrete Trial Teaching. The other two conditions, a PowerPoint presentation and Text were not as effective. Collectively, the findings in this thesis pave the way for effective training for families living with autism and they offer suggestions for innovative ways in how we teach behaviour analysis.
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Thompson, Robyn. "A retrospective, cross-sectional study of an in-home breastfeeding programme." Thesis, Australian Catholic University, 2014. https://acuresearchbank.acu.edu.au/download/5f94121cd676f81751f13e610ee259d944421a18e878105423e8a3d76f3c6afd/73127241/THOMPSON2014.pdf.
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Background: Breastfeeding complications impact on the woman’s ability to initiate and sustain breastfeeding. A local government in-home breastfeeding programme was established to provide support for breastfeeding women after hospital discharge. A purpose built database to record maternal-infant data was piloted during 2001-2003 and data continued to be collected until 2007. This thesis reports on the analysis of the data collection 2003-2007, including demographic information, presenting complications, observational, diagnostic and photographic data. Research Questions: What were the main characteristics and experiences of the women with breastfeeding complications who presented for professional assistance through the Darebin In-Home Breastfeeding programme? What are the implications for breastfeeding women and midwifery practice, from the analysis and findings of this data? ...
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Cruz, Maria Isabel Santana. "The evaluation of a home-visit nursery education programme in rural Portugal." Thesis, Cardiff University, 1994. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.362864.
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Taruvinga, Kudakwashe. "Establishing a new home based care programme for the community of Swakopmund." Thesis, Stellenbosch : University of Stellenbosch, 2010. http://hdl.handle.net/10019.1/8539.
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Thesis (MBA)--University of Stellenbosch, 2010.Since the first case was discovered in Africa in the late 80s, the HIV/AIDS epidemic has gradually increased at alarming proportions worldwide especially in sub-Saharan Africa which prompted the United Nations' World Health Organisation to declare it a global pandemic. This research undertakes to highlight the current composition of care given for HIV and Aids, and the strengths and weaknesses of such programmes. The aim of this is to establish a better home based care programme in Swakopmund, Namibia, for improving the quality of care as well as living conditions for the infected and affected. For this initiative to be of the highest quality there is need to pay special attention to various regional and national HIV/AIDS programmes and policies. As the HIV/AIDS epidemic continues to spread, organisations and communities are now considering engaging more programmatic approaches as sub-Saharan countries are looking for scaled-up responses and national strategies for home based care. Policy-makers and senior administrators must be involved in developing and monitoring home based care programmes, and the people who manage and run the programmes must share information and feedback with senior administrators. In this sense, policy and action are interrelated as each partner learns from and guides the other. The researcher saw the need to involve community members and home based care-givers in a participatory process to research this topic and engage them in a process on how to improve the programmes that already exist. 52 Pages.
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Henwood, Tom. "Children's language development and supplementary gesture production following a home visiting programme." Thesis, Cardiff University, 2018. http://orca.cf.ac.uk/115120/.
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This thesis explores the impact that Home Visiting Programmes (HVPs) have on the language development of young children. Paper one reports a systematic review conducted to explore whether HVPs have an effect on the language development of the children they support. This process yielded 11 studies, all of which were rated using a quality appraisal tool. Data was extracted from each of these studies and analysed in order to identify which programs have supported children’s language development and why this might be. The findings illustrated that the HVP model of intervention are able to make positive changes to children’s language development, but not all programs achieve this outcome. The variance in the ways in which HVP are delivered makes for cautious conclusions, but the review suggests that the frequency and duration of visits might play an important role. Paper two describes an empirical study that measured 24-month-old children’s supplementary gesture-speech production. The data was analysed to investigate whether there was a difference in language ability of the children, half of whom had received support from the Family Nurse Partnership program HVP (UK). 483, three-minute long video recordings of mother-child dyads were coded for the child’s gesture production, with a particular focus on their use of supplementary gesture-speech combinations (an advanced form of gesture production associated with children’s language development). The study did not find a difference between the two groups with regards to supplementary gesture production, but did find a significant association between supplementary gesture production and children’s Mean Length of Utterance (MLU) score across the whole sample. Furthermore, children born to younger mothers were less likely to produce a supplementary gesture. Paper three provides a reflective and critical evaluation of the above papers. The paper reflects on the research processes and decisions made, as well as the clinical implications for the findings.
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Mahunga, P. "Determinants of home based care services provision for the people living with HIV/AIDS: A case study of Hope ('Tumaini') Home Based Care Programme in Tanzania." Master's thesis, University of Cape Town, 2012. http://hdl.handle.net/11427/10689.
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Includes abstract.Includes bibliographical references.
The higher increase in the number of HIV/AIDS patients in the country has necessitated the expansion of Home Based Care (HBC) programmes and has called for the need to strengthen the HBC services in Tanzania. Since scaling up of HBC services is fundamental and the resources dedicated into HBC programs are supposed to be utilized efficiently, the factors hindering the provision of HBC services should be known and resolved. A cross sectional study was applied in studying the factors that influence the provision of HBC services and a quantitative method of data collection and analysis was used. A sample of 8 civil society organisations out of 23 carrying out HBC activities under 'Hope' HBC program were selected, representing organizations from rural and peri urban areas.
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Hobson, Kersty Pamela. "Talking habits into action : an investigation into Global Action Plan's 'Action at home' programme." Thesis, University College London (University of London), 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.368092.
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Lagiewski, Richard Mark. "Exporting hospitality & tourism education abroad and its influence on the home programme internationalisation." Thesis, Edinburgh Napier University, 2015. http://researchrepository.napier.ac.uk/Output/455560.
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HEIs have, over the recent decade, been involved in internationalisation of their academic programmes and in the delivery of their degrees in international locations. Internationalisation is associated with the incorporation of international facets into the composition of curriculum, faculty, and students through a combination of activities and policies. One such activity associated with internationalisation is transnational education, in which the degree students are located in a different country than where the institution delivering the education is based. Transnational education is often categorised in many forms: franchise, twinning, articulations, double degree programme, partnership, distance education, and international branch campus. Hospitality and tourism programmes have been identified as having been involved not only in internationalising their degree programmes, but also in delivering their degrees internationally in branch campus locations. However, even though the narrative has been on the start-up, operations, and management of these IBCs, less is known about the impacts the international branch campus has on the exporting hospitality and tourism programme. This research, based in management, tourism, and international education, and viewed through a post positivism and critical realist perspective, presents an understanding of the effects that exist between hospitality and tourism programmes in HEIs and their IBCs. This is achieved through developing a typology of the influences that overseas expansion has on the exporting hospitality and tourism programme. To address the objective of this research, a case strategy approach was used to support the exploratory and descriptive nature of this topic of study. The methodological design consisted of a mixed-methods approach, exploring three hospitality-tourism programmes in the United States delivering their degrees at international branches campuses. A conceptual framework based on elements associated with overseas expansion of both firms and HEIs and the theoretical foundations regarding internationalisation, guided data collection and analysis. The significance of this study is twofold. First, it contributes to greater understanding of IBCs from the perspective of the home campus. Much of the literature surrounding exporting education through IBCs broadly focuses on three themes: market entry, risks and benefits, and quality control issues. Understanding these influences back at the home campus programme contributes to an underdeveloped area in the transnational literature. Secondly, the research contributes to the topic of internationalisation specific to the academic field of hospitality and tourism management. Although there is much consensus that academic programmes should prepare students for an international industry and a global marketplace, it is unclear the role that exporting hospitality and tourism degrees on IBCs has in internationalising the exporting degree programme specific to students, faculty, and curriculum. Greater insight was gained regarding IBCs and internationalisation by assessing the influences of IBCs through the experiences of home campus faculty and staff. Additionally, findings may also prove useful to organisations, both academic and commercial, seeking to expand internationally. Findings of this research demonstrate that delivering a degree internationally is motivated by both internal and external factors, but home programme leadership combined with pull factors from the international location may be the catalyst in the decision to expand internationally. Additionally, the justification for international expansion and the outcome of this activity appears to be most associated with expanding the programme's brand and credibility in the area of international education. Impacts on faculty, students, and curriculum diverge somewhat when considering the mobility between both the home campus and international branch campus. Students at the home campus experience internationalising influences based on two factors. The first is their study abroad experiences at the branch campus, and the second is their interactions with foreign students who transfer to the home campus. Similarly, faculty who engage with the branch campus onsite in the international location are in some cases gaining international exposure that allows them to internationalise their perspective on the industry and their students. Faculty and staff at the home campus identify the challenges of supporting both the necessary resources of the international branch campus, and the requirements to serve the changes associated with the home campus environments.
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Fuller, Christopher. "The eagle comes home to roost : the historical origins of the CIA's lethal drone programme." Thesis, University of Southampton, 2014. https://eprints.soton.ac.uk/378626/.
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Since 2004, the CIA has been engaged in a covert campaign using remotely-operated drones to conduct targeted killings of suspected al-Qaeda and Taliban militants in the Afghanistan/Pakistan region. The rapid escalation of this programme under the Obama administration has attracted the close attention of the media and of academic experts working in the foreign policy, defence and legal fields. However, while such attention has enhanced our understanding of the scale, effectiveness and legality of drone warfare, there has been little attempt to explain the origins of the programme and place it within wider US counterterrorism practice. This dissertation meets that need, making an original contribution to the study of American counterterrorism by tracing the historical origins of the programme back to a small but influential group of policy makers within the Reagan administration. The thesis reveals how a shared hardline vision of how best to deal with terrorists set in motion legal and technological developments which eventually culminated in the CIA’s drone programme three decades later. By identifying the parallels between the drone campaign and the demands of the hardliners within Reagan’s government, the thesis challenges the commonly held notion that the CIA’s entry into drone warfare marks an unprecedented escalation of US counterterrorism practices resulting from a post-9/11 mind-set. Instead it presents evidence that current US counterterrorism practice is the result of a gradual evolution over the past three decades. Rather than placing the focus upon the drones themselves, this historical review reveals that the CIA’s unmanned aircraft are simply the current tool which enables the United States to pursue the counterterrorism goal it has held for decades – the ability to unilaterally neutralize anti-American terrorists in safe havens around the world. The thesis reveals that the drone campaign should not be regarded as a product of post-9/11 policy, nor the result of the seductive nature of remote control warfare. Instead, the use of drones should be seen as the embodiment of America’s long-term counterterrorism goal.
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Baer, Gillian. "A study of a home exercise programme for community dwelling people with late stage stroke." Thesis, Queen Margaret University, 2011. https://eresearch.qmu.ac.uk/handle/20.500.12289/7349.
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Background: Many people living with chronic stroke are not involved in any form of ongoing rehabilitation, despite having ongoing impairments and limitations in activity and participation. The approach to structuring practice of functional tasks, as part of ongoing rehabilitation, can incorporate diverse techniques. Current texts advocate that physiotherapists construct stroke rehabilitation programmes that incorporate Motor Learning principles, however the evidence to support this is limited. No evidence related to stroke exists as to whether functional tasks should be practised in their entirety (whole practice) or in component parts (part practice). The primary aim of the work reported in this thesis was to investigate the effects of a home exercise programme based on Motor Learning principles of part practice (PP) or whole practice (WP) of selected functional tasks for people at least six months after a stroke. Methodology: A single blind, randomised controlled trial was undertaken, with participants allocated to either a part practice experimental group (PP), a whole practice experimental group (WP) or a control (Con) group. Both experimental groups followed a four week exercise intervention programme of functional tasks based on PP or WP. Outcome measures were undertaken at baseline, at the end of a four week intervention (wk 4), at short-term follow-up (wk 4.5) and at long-term follow-up (wk 16). Outcome measures utilised were the Barthel Index (BI), Motor Assessment Scale (MAS), Timed Up and Go over 2 metres (TUG2m), Step Test, Frenchay Arm Test (FAT), Hospital Anxiety and Depression Scale (HADS), Frenchay Activities Index (FAI)and the Stroke Impact Scale (SIS). Differences between the groups at each measurement point were examined using a Kruskal Wallis test. Differences within each group over time were analysed using a Friedman’s Anova, followed up by a Wilcoxon’s Signed Ranks test using a Bonferroni correction where a significant difference was found. Results: Sixty four people with late-stage stroke were recruited and provided informed consent. Data were available for analysis for 60 participants (median time since stroke 21 months). No statistically significant differences were found between the three groups at any point for any of the dependent outcome variables. A number of statistically significant within group changes were found in all groups. Most statistically significant changes were demonstrated by PP including on the BI from baseline to wk 4.5; on the MAS from baseline to weeks 4, 4.5 and 16; on the Step Test from baseline to weeks 4, 4.5 and 16 and on the FAT from baseline to week 4. On more global measures the PP group reported statistically significant improvements on the SIS in the domains of strength, mood and mobility from baseline to wk 4; and in the SIS participation domain from baseline to wk 16; as well as a statistically significant within group improvements on FAI from baseline to wk 4. Conclusions: People with late-stage stroke demonstrated capacity for improvements in a number of measures of impairment, activity, participation and mood. The PP group demonstrated improvements, over time, in more of the outcome measures relating to physical ability than either WP or Con groups. Implications for clinical practice and further research are discussed.
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Hamdan, Taghreed Abu. "Promoting a mother school relationship programme in rural areas of Jordan : case studies of two girls schools." Thesis, University of Sussex, 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.241685.
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Moran, Monica. "The impact of a home based education and self management programme for patients with chronic back pain after completion of a multidisciplinary pain management programme /." St. Lucia, Qld, 2002. http://www.library.uq.edu.au/pdfserve.php?image=thesisabs/absthe16743.pdf.
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Eihab, Abdelghaffar Elsharkawy Heba. "Home energy use, lifestyle, and behaviour : a community energy saving programme (CESP) survey in Aspley, Nottingham." Thesis, University of Nottingham, 2013. http://eprints.nottingham.ac.uk/28034/.
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With increasing concern over national green house gas (GHG) emissions, combined with the widespread economic impact of global commodities such as coal, natural gas and oil and their effect on energy prices, improving household energy efficiency can be seen as a key vehicle against which both energy emissions can be reduced and domestic GHG emissions curtailed. It is argued that factors that form the basis of choices, habits and values of individuals dictate an individual's decision to either adopt environmentally sustainable behaviour or not. This research reflects on how this specific area of energy policy is being enacted through policy and regulation, notably through one of the Community Energy Saving Programme (CESP) schemes, rolled out by the UK government in 2009. Although Government can play a pivotal role helping people foster more sustainable behaviour, it must do so in a manner that engages individuals and the public at large. As such, the aim is to adopt a more long term outlook towards encouraging sustainable energy use. The research reflects therefore on the results of a two-phase survey questionnaire administered to the residents of a CESP scheme in Aspley, Nottingham. The questionnaire sought to identify how tenants of energy-inefficient homes tend to behave with respect to domestic energy consumption and how their dwellings performed. This was augmented by quantitative data comprising utility bill figures gathered from the homes under investigation. This study adopts a mixed method strategy where the researcher combines both quantitative and qualitative data in order to provide comprehensive analysis of the research problem. In this research, 'before-and-after design' survey design is set up to explore the associations between variables under study. The field work survey was performed in one of the pilot CESP schemes currently under delivery in the Aspley area of Nottingham. Designed and executed in two survey phases, the first phase sought to understand residents' attitudes and behaviour and explore how this related to home energy use and performance prior to extensive energy-related upgrades to their dwellings. The second survey phase sought to examine changes - if any - in users' energy consumption behaviour and dwelling performance after their homes were upgraded to higher energy efficiency standards. This second phase also explored the possible reasons for any behavioural change depicted; whether it was due to policy uptake, information provided or means of communicating energy saving advice. The Aspley area in Nottingham is identified as one of the most deprived areas in Nottingham, besides the number of inefficient solid wall houses that are 'hard to heat'. Thus, assessing the effectiveness of policy interventions requires a clear understanding of consumer behaviour and motivations across all income groups so that the most appropriate approaches are developed. As such, it is possible that government aspirations to reduce energy consumption will go unheeded if they are inconsistent with the social and physical context of real life. Financial costs, past behaviour, social values and physical infrastructure are considered some of the most difficult barriers to changing energy behaviours. Policies need not only inform people about technological improvements that can be installed in their homes, but should also strongly encourage and incentivise them to use them efficiently. The users' energy consumption behaviour and the policy interventions will make the difference between promising policy, and policy which in fact delivers on its aims for energy efficiency and sustainability.
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Holmes, Susan. "The world of the cinema in your home : the film programme on British television 1952-62." Thesis, University of Southampton, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.392662.
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Mills, Susanna Dorothy Helen. "A mixed methods programme of study on the determinants and health outcomes of home food preparation." Thesis, University of Newcastle upon Tyne, 2017. http://hdl.handle.net/10443/3950.
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Diet-related diseases are the greatest cause of morbidity and mortality worldwide. Food preparation methods are linked to diet and health. The aim of this thesis was to study the determinants and outcomes of home food preparation, using mixed methods. The first research phase was a systematic review of observational studies on the health and social determinants and outcomes of home cooking. Key determinants included female gender, greater leisure time availability, close personal relationships, and culture and ethnicity. Putative outcomes were mostly at an individual level and focused on potential dietary benefits. The second phase involved qualitative interviews exploring home food preparation practices, experiences and perceptions amongst adults from the United Kingdom (UK). Key emergent themes concerned the cook (identity), task (process of cooking) and context (situational drivers). Practices changed over the life course and reflected compromises between varied competing demands. Comparison with focus group data from Baltimore, United States, showed that ‘home cooking’ was distinct from other types of cooking at home. ‘Home cooking’ was defined as: preparing a meal from scratch; cooking with love and care; and nostalgia, and was not aligned closely with principles of healthy eating. The third phase comprised analyses of cross-sectional data on participants’ meal consumption patterns, sociodemographics, diet and markers of cardio-metabolic health, from a large population-based UK cohort study. Eating home cooked meals more frequently was significantly associated with being female, older, of higher socioeconomic status and not working overtime. Varying patterns of association were observed for consuming takeaways, ready meals and meals out. Eating home cooked meals more frequently was significantly associated with a range of healthier dietary indicators, and lower adiposity. Overall, preparing and eating meals cooked at home were found have complex and varied determinants, and to offer a range of putative benefits, indicating potential to enhance the public’s health.
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Mitrani, Susan. "A descriptive study of the nature of mothers' involvement in a parent-infant home visiting programme." Master's thesis, University of Cape Town, 2012. http://hdl.handle.net/11427/11079.
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Includes bibliographical references.In this qualitative study mothers’ perceptions of their experience of a local parent-infant home visiting programme were described. Research has shown positive results for home visiting programmes which are being implemented increasingly throughout the world. International and local research on home visiting programmes, psychodynamic theory including attachment theory, and systems theory underpin this research.
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Sibuyi, Steven. "The impact of the home-based care programme in Skukuza Camp of the Kruger National Park on employees and people of adjacent villages." Thesis, University of Limpopo (Turfloop Campus), 2011. http://hdl.handle.net/10386/615.
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De, Jager Marina, and Johanna Geldenhuys. "Introducing and intervention programme for grade 2 Afrikaans home language learners with reading, comprehension and phonics barriers." Thesis, Nelson Mandela Metropolitan University, 2016. http://hdl.handle.net/10948/6801.
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This research study was aimed at the Grade 2 Afrikaans Home Language learners who encounter reading, comprehension and phonics barriers in an inclusive classroom. The Grade 2 Curriculum and Assessment Policy Statement (CAPS) Home Language curriculum and pass requirements that the learners have to master in the mainstream, was a major concern. Consequently, seventy per cent of the Grade 2 Afrikaans learners have already failed Grade 1 or 2; and some seemed to be borderline cases; as their pace of development was so slow. The intervention programme was implemented intensively outside normal school hours, through qualitative and quantitative data collection, known as the multi-method. The research approaches were conducted through action research and case-study research. Bronfenbrenner’s model indicated that intrinsic and extrinsic factors cannot be disregarded in the learner’s holistic development; therefore, parent involvement was vital during the research study. As the Individual Learner Support Team (ILST) coordinator at the research school, I have experienced the despair and perplexity of the teachers, when dealing with teaching challenges; but also, that of the learners, who face barriers to learning. A sample of six learners was identified; and one parent in each household was active during the study. The parent’s responses varied from limited to worthy feedback throughout the intervention programme. The learners’ responses were observed during the intervention programme, the classroom situation; and their perceptions during the semi-structured interviews were recorded. The intervention programme links with the Screening, Identification, Assessment and Support of SIAS process; and it involved the assistance of a remedial expert by applying remedial education, without psychometric tests. The findings revealed that the learner must be intrinsically motivated to co-operate fully. And this relates to both intrinsic and extrinsic influences. Recommendations are offered to the various stakeholders, who are directly or indirectly engaged in the learner’s scholastic development, to ensure corrective and supportive measures, which are conducive to learning.
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Watson, Helen M. "The development and evaluation of a home based behavioural nutrition education programme for adults with cystic fibrosis." Thesis, University of Surrey, 2006. http://epubs.surrey.ac.uk/844160/.
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Malnutrition remains a major clinical problem in Cystic Fibrosis (CF). As the degree of underweight correlates closely with reduced survival, interventions are needed which optimise nutritional outcomes. The focus of this thesis was on developing a home based behavioural nutrition education programme for adults with CF and assessing its effectiveness on nutritional status, knowledge and other psychosocial measures using a randomised control study design. Chapter 2 describes the development of the "Eat well with CF" programme, which used a framework of Social Cognitive Theory. The next investigations aimed to test the programme both with consumers and with peers. The results showed that adults with CF would be motivated to take part and felt they would learn from the programme. The peer review demonstrated that the programme was rated highly with regard to content, accuracy and information. In Chapter 3 the effectiveness of "Eat well with CF" was tested in a randomised trial (n=74) using a control group who received standard care. The results demonstrated a trend towards an increase in weight. After 6 months the average weight gain in the intervention group was 0.57 kg compared to control weight gain of 0.09 kg (p=0.545, 95%CI -1.07-2.0). Subjects undertaking the "Eat well with CF" programme had significantly increased their self-efficacy to cope with their diet, (p=0.003, 1.19-5.67), their specific nutritional knowledge (p < 0.001, 4.05-7.38) and their reported dietary fat intake (p=0.014, 0.76-6.50) compared to the control group. At 12 months, the average weight gain was 0.02 kg in the control group and 1.14kg in the intervention group with no statistical differences between the two groups. The intervention group continued to show a marked and significant improvement in CF specific nutritional knowledge and self-efficacy score. Chapter 4 examines the reasons for subject non- participation in the study, which led to the development of an audio version of "Eat well with CF". The positive results of the process evaluation detailed in chapter 5 highlight the significant personal enjoyment and benefit received by the participants. These studies combine to demonstrate the utility, acceptability and efficacy of "Eat Well with CF". In addition they challenge traditional dietetic practice. We suggest this novel behavioural education approach could enhance current dietetic practice, to improve outcomes and lead to life long maintenance of optimal nutritional status for adults with CF.
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Argel, de Melo M. C. P. "The impact of a specific home based exercise programme on fall risk factors in older Portuguese people." Thesis, University of Brighton, 2008. https://research.brighton.ac.uk/en/studentTheses/08ac3e68-7d89-45a2-aa67-200adb28fdfe.
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The aim of the this study was to develop a moderate intensity, specific and safe homebased exercise programme and evaluate its effectiveness on fall risk factors in Portuguese people over the age of 65.
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Peers, Gordon H. "Home visiting: The effect of a hospital based nurse home visiting programme on the rehabilitation of children following their discharge from a child psychiatry inpatient unit." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 1997. https://ro.ecu.edu.au/theses/898.
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The purpose of this study was to examine the effect of a nurse home visiting programme on the rehabilitation of children following their discharge from a dedicated child psychiatry hospital. The research was based on the premise that a nurse home visiting programme may have a positive influence on the outcomes of the rehabilitation of children following their discharge from hospital, if it reduced the need of outpatient appointments with the psychiatrist and the need for children to be re-admitted to hospital.
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Thomas, Kim Suzanne. "The cost-effectiveness of a home-based exercise programme for the treatment of knee pain in the community." Thesis, University of Nottingham, 2001. http://eprints.nottingham.ac.uk/11621/.
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Objectives: o To determine the prevalence of knee pain in the population aged ≥45 years. o To determine the benefit or otherwise of regular home exercise and telephone contact in reducing the burden of knee pain in the community. o To determine the economic burden of knee pain from a societal perspective. o To determine the cost-effectiveness and cost-utility of the compared interventions. Design: An initial postal questionnaire regarding knee pain was sent to 9296 individuals aged ≥45 years registered with two large general practices in Nottingham. This was followed by a two-year, single-blind, randomised factorial trial. Treatment arms included: exercise therapy, telephone social support, a placebo health food product and no intervention. Economic data were collected prospectively alongside the trial. Analysis was conducted on an intent-to-treat basis. Primary outcome: Self-reported knee pain at 24 months. This was assessed using the Western Ontario MacMaster's Universities Osteoarthritis Index (WOMAC) - a knee specific questionnaire. Results: The postal questionnaire was returned by 65% of the study population. The prevalence of self-reported knee pain in the community in those aged ≥45 years was 32% (35% in females and 28% in males). Costs incurred during the 6-month period prior to randomisation showed medical costs for the treatment of knee pain to be 7% of total medical costs and 11% of primary care costs. Annual societal costs were estimated to be £48 per person. The intervention study demonstrated that a simple, home-exercise programme could reduce self-reported knee pain, knee stiffness and knee related physical disability after 24 months (p=<0.001, 0.01 and <0.001 respectively). Effect sizes were modest, but improvements were incremental to normal care. The number needed to treat (NNT) in order to achieve a ≥ 50% reduction in pain at 24 months for individuals allocated to the exercise programme was between 8 and 13. Neither telephone contact nor the placebo dolomite tablet contributed significantly to the observed reduction in pain. The cost per person of delivering the two-year exercise programme was £ 113. Analysis of GP records revealed no change in medical costs during the trial. Cost-effectiveness analysis suggested hat the cost per unit change on the WOMAC pain scale was £ 108. The cost-effectiveness of achieving a ≥ 50% reduction in pain in a single individual (based on NNT figures) was £1,012. Conclusion: Knee pain is common in the general UK population aged ≥45 years and incurs an estimated cost of £218 to £350 million per annum (excluding indirect costs) in 1996 prices. The burden of knee pain could be reduced by the implementation of a cost-effective primary care-based exercise programme, although such improvements are likely to be modest.
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Modikwane, Mmatladi Octavia. "Assessment of the quality of services provided by the home community based care programme to people infected and affected by HIV/AIDS / M.O. Modikwane." Thesis, North-West University, 2007. http://hdl.handle.net/10394/1827.
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The North-West Province has the fifth highest prevalence of HIV/AIDS in the country and has an estimated HIV prevalence of 22.9%. On the 24th November 1999 cabinet approved a special allocation of funds to finance a National integrated programme in the fight against the HIV/AIDS pandemic. They involved Departments of Social Services, Health, Education and Agriculture. The plan comprised three main components, which included the implementation of Home Community Based Care models for children and youth infected and affected by HIV/AIDS. The North-West Province was one of the provinces identified to pilot the programme and funds were allocated for the establishment of the programme.
This study was undertaken with the aim of assessing the quality of services provided by the Home Community Based Care Programme to people infected and affected by HIV/AIDS. An empirical survey as well as a literature study was undertaken to determine whether the caregivers that are part of the Home community based care programme play their set role. Forty-five beneficiaries of the programme were randomly selected as respondents. An evaluative research design was utilised to test the progress of the Programme and check whether the programme is consistent with programme design specifications. A structured self-administered coded questionnaire with descriptive questions was developed and self administered to 45 respondents in Ikageleng Location in Zeerust who were randomly selected from a list of beneficiaries. The findings of the study indicated that caregivers who are part of the Home Community Based Care Programme play their set role. The programme provides good quality services to beneficiaries. The programme provides palliative care services, material support, care and support services, awareness and education and income generation.Thesis (M.A. (MW))--North-West University, Potchefstroom Campus, 2008.
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Sangpradup, Mavong Ratchaneewan. "Recherches sur la formation linguistique et interculturelle pour les étudiants en tourisme : préparer au programme Home Stay en Thailande." Thesis, Paris 3, 2010. http://www.theses.fr/2010PA030103.
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Cette recherche est une contribution à l'amélioration du Home Stay, forme de tourisme chez l'habitant d'apparition récente en Thaïlande. Enseignante de français dans une Université d'une région touristique, il nous est apparu que son développement profiterait à la région et offrirait des débouchés à nos étudiants. Nous avons recensé les Home Stay qui recevaient des touristes français ou francophones, dont nous avons contacté chefs de villages et habitants ainsi que les visiteurs étrangers présents lors de nos visites. Nous leur avons fait remplir des questionnaires, les visiteurs étrangers étant classés en trois catégories: français, francophones et autres, questionnaires que nous avons dépouillés à l'aide d'un logiciel SPSS. Nous en avons conclu à la nécessité de médiateurs interculturels. Pour permettre aux visiteurs étrangers de satisfaire leur curiosité sur le mode de vie traditionnel des habitants, leurs travaux, leurs fêtes et leurs coutumes et répondre également au souhait des habitants, il fallait une présence permanente dans les villages de tels médiateurs. Nous avons jugé qu'il serait intéressant de proposer à nos étudiants une formation linguistique et interculturelle pour pratiquer ce métier, ces deux compétences étant également nécessaires pour jouer le rôle de médiateurs dans un Home Stay. Pour éviter le choc culturel et les malentendus dus à la différence culturelle entre habitants et visiteurs étrangers, il est indispensable de mettre l'accent dans cette formation sur l'éducation et la communication interculturelles. Cette formation devra leur faire acquérir les trois composantes de la compétence en communication : savoirs, savoir-faire et savoir-êtreThis research is contributed to the improvement of the Home Stay, a form of tourism recently appear in Thailand that allows the visitor to stay in a house of local family. Teaching French in a university within a touristic region, it appeared to us that this type of tourism would offer advantages not only to the region and but also to our students. We formulated the Home Stay for welcoming French or French-speaking visitors by contacting the village chiefs and the villagers as well as the others foreign visitors during our visits. We asked them to fill in a questionnaire, with the foreign visitors classified into three categories: French, French-speaking and Other, which we analyzed by statistical software SPSS. In conclusion, the results of the questionnaire data point to the necessity of the intercultural mediators. In letting the foreign visitors satisfy their curiosity about the villagers' traditional way of life, their works, their fetes and their customs, and responding to the desire of the villagers, it appears that these mediators could be required on a permanent basis, in the village. In turn, we propose a linguistic and intercultural program to our students towards the goal of becoming intercultural mediators. These two competencies are also necessary for the role of mediators in a Home Stay. In order to avoid cross-cultural and misunderstanding between the villagers and foreign visitors, it is necessary to emphasize the intercultural education and communication in this program. It would allow students to obtain three components of communication competency: knowledge, skills and attributes common to intercultural mediators
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Leonidou, Maria Papaconstantinou. "Patients' satisfaction received from nursing staff in the Home Care Programme run by the Ministry of Health in Cyprus." Thesis, Middlesex University, 2015. http://eprints.mdx.ac.uk/15143/.
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The main purpose of this study was to investigate the home care patients’ satisfaction received from the nursing staff in the public home care program in Cyprus. Patients’ satisfaction has become an important part in evaluating the quality of health care services. Patients are the ones who can identify better than anyone else the aspects of nursing care which need improvement. Home care services are quite new and still developing in Cyprus while the need for these services is increasing rapidly. This study, utilized the QPP survey questionnaire, in depth semi-structured interviews and observations. The questionnaire was delivered to the home care patients who received long term care during the period of February 2011 to May 2011. A purposive sample was used for the interviews of the patients, the nursing staff and the management staff of the home care program and for the observations of the home care visits. The results of this study showed that the home care patients of the public home care program in Cyprus are very satisfied from the services they receive from the home care nursing staff. The quality of care, QPP index was found of the highest score in all items of the questionnaire. This study revealed high standards in the elements relating to the humane approach, the medical competence, the information and advising provided to the patients. At the same time, this study identified a deficiency in the abilities of the nursing staff to provide psychological support in difficult cases and the patients’ inadequate control of their medical care according to their desires rather than by the procedures of their home care nurse. It also identified the need of the home care patients for help in the activities of daily living (ADLs). Additionally, this study surfaced the aspects of the nursing care which the home care patients consider more important and highlighted the characteristics of an ideal home care nurse through the patients’ eyes; placing the humane approach as the most important aspect, followed by the psychological support provided and then by the nursing knowledge. A deviation was identified between the nursing and management views, with the later placing the nursing knowledge as first, followed by leadership skills and then by the humane approach. This study, also identified those problematic areas of the program which negatively influence the nursing services; these were the absence of a team of health professionals in the program, the limited operating hours, the non-implementation of the concept of prescribing nurses, the non- eligibility of the nurses to refer the patients to other health professionals, inadequate technology, insufficient financial support of the program, and the cumbersome procedures of the public sector. Home care patients’ satisfaction from the nursing staff is very high; yet there are some areas which need improvement. Recommendations emanated from the project include the enhancement of the nursing undergraduate and post graduate education in home care nursing, with courses and workshops on the psychology of home care patients, on gerontology, on leadership and communication skills. Recommendations also include individual and organizational development interventions for providing more support to the home care nurses, higher quality of care to the home care patients within a client-centred environment and feedback strategies.
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Bell, Jennifer M. "A comparison of a multi-disciplinary home based cardiac rehabilitation programme with comprehensive conventional rehabilitation in post-myocardial infarction patients." Thesis, Imperial College London, 1998. http://hdl.handle.net/10044/1/8585.
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Scott, S. N. "Introduction of a novel home-based high-intensity interval training programme to improve cardio-metabolic health in at-risk individuals." Thesis, Liverpool John Moores University, 2018. http://researchonline.ljmu.ac.uk/9213/.
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New strategies are urgently needed to increase physical activity participation in the increasingly sedentary population to combat the rising rates of obesity and metabolic disease. The aim of this thesis was to provide evidence that practical high-intensity interval training (HIT) strategies can remove many of the major exercise barriers for obese individuals and people with type 1 diabetes that could potentially increase physical activity participation. Secondly, this thesis aimed to provide mechanistic evidence to explain the physiological effectiveness of HIT as a means to reduce the risk of cardio-metabolic disease. In Chapters 4 and 5, 32 obese adults with at least 3 additional cardiovascular disease (CVD) risk factors completed one of three 12-week training programmes 3x/week: Home-HIT (n=9); Laboratory-based supervised HIT (Lab-HIT; n=10) or home-based moderate intensity continuous training (Home-MICT; n=13). Changes in V ̇O2peak, insulin sensitivity, body composition, flow-mediated dilation (FMD) and aortic pulse wave velocity (PWV) were assessed. Muscle biopsies were taken to assess changes in capillarisation, mitochondrial density, intramuscular triglyceride (IMTG) content and eNOS and GLUT4 protein expression using quantitative immunofluorescence microscopy. Adherence and compliance (Home-HIT 96±3% & 99±1%; Home-MICT 88±4% & 100±0%; Lab-HIT 97±1% & 100±0%, respectively) to training did not differ between groups. Training increased V ̇O2peak and Matsuda insulin sensitivity index (P < 0.05). BMI, body fat percentage and visceral fat decreased (P < 0.05). FMD increased and aortic PWV decreased in each group (P < 0.05). Immunofluorescence microscopy revealed increased capillarisation, mitochondrial density, IMTG content and eNOS and GLUT4 protein expression (P < 0.05). In Chapter 6, 14 people with type 1 diabetes completed a randomised counterbalanced crossover design whereby continuous glucose monitoring was used to assess glycaemic control and risk of hypoglycaemia following a single bout of HIT and moderate-intensity continuous training (MICT) on separate days, compared to a non-exercise control day (CON). In Chapter 7, 14 people with type 1 diabetes (n=7 per group) completed six weeks of HIT or MICT 3x/week and the effect on glucose control and markers of cardio-metabolic health were measured. Chapter 6 showed no difference in the time, incidence or severity of hypoglycaemia over the 24-hour or nocturnal period between the CON, HIT and MICT days. In Chapter 7, six weeks of HIT or MICT improved V ̇O2max by 14% and 15%, respectively and aortic PWV by 12%, with no difference between groups. Therefore, Chapters 6 and 7 demonstrate that HIT is an effective exercise strategy for people with type 1 diabetes that reduces the two major barriers of lack of time and fear of hypoglycaemia. Finally, in Chapter 8, eleven previously sedentary individuals with type 1 diabetes completed 6 weeks of Home-HIT. Blood glucose was monitored before, immediately and 1h after all of the exercise sessions. Perceptions of the program along with attitudes towards exercise, barriers to exercise and previous experiences of exercise were evaluated using an online survey. Training session adherence was 93±2%, with participants achieving their target HR in 99±1% of sessions. Blood glucose was not different from baseline immediately or 1h post HIT exercise. Training increased V ̇O2peak by 8% (P=0.015), but blood pressure was unchanged (P=0.445). The qualitative data showed that the Home-HIT programme was positively received with many benefits. In conclusion, this thesis provides strong evidence that HIT can reduce major barriers to exercise and potentially increase exercise participation in these at-risk populations. Furthermore, Home-HIT was shown to be an effective strategy to improve a wide range of physiological markers indicative of improved cardio-metabolic health. Importantly, Home-HIT not only reduced traditional barriers to exercise, but also the key barrier in people with type 1 diabetes, fear of hypoglycaemia. As such, Home-HIT may represent an effective strategy to improve health in obese individuals with elevated CVD and people with type 1 diabetes by increasing exercise participation. Future research should investigate the effects of Home-HIT on a larger scale using larger cohorts and longer training periods using large-scale randomised controlled trials.
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Diseko, Agnes Nkeba. "HIV/AIDS clients and their caregivers' perceptions of a community home-based care support programme in Botswana : a qualitative study." Master's thesis, University of Cape Town, 2006. http://hdl.handle.net/11427/9338.
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Includes bibliographical references (leaves 75-82).The study was undertaken at a village called Ramotswa in Botswana. Botswana is a small country in Southern Africa with a population of 1.7 million people (Botswana Housing and Population Census, 2001). The study explores HIV/AIDS clients' and caregivers' perceptions of the Community Home-Based Care support programme. The people involved in the community home-based care programme included nurses, family welfare educators (FWEs), social workers, community volunteers, and drivers. An exploratory qualitative design was used. Collection of data was through in-depth interviews, as well as a focus-group discussion. The sample was obtained through purposeful sampling, and there were nine HIV/AIDS clients, and seven caregivers who participated in the study. Results of the study were analysed themeativally. Resulst showed that many caregivers are women, and that they perform the task of care-giving under very difficult situations of poverty, social isolation, fear and stigma. They needed financial, material spiritual, as well as professional support from the home-based care team and community members.
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Horton, E. "A home based self-management rehabilitation programme for chronic obstructive pulmonary disease : is it a feasible alternative to conventional rehabilitation?" Thesis, Coventry University, 2014. http://curve.coventry.ac.uk/open/items/158c7062-2633-4535-92c9-d8862d9b531d/1.
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Introduction: Patients with COPD are characterised by symptoms of dyspnoea, limited exercise tolerance and low levels of physical activity which can lead to reduced quality of life. Pulmonary rehabilitation (PR) is recommended, however, not all are able to participate and there is a large dropout rate from this service. Home-based programmes aiming to enhance self-management skills can potentially provide an alternative model of delivery, allowing increased options for treatment. As one of the key components of PR is to enhance exercise endurance and physical activity, valid and reliable measures are needed to determine programme effectiveness. Therefore, the first aim of this thesis is to determine the validity, reproducibility and sensitivity of the SenseWear Pro 2 Armband, activity monitor (SWM) to be used in the main trial. The primary aim of this thesis is to describe the noninferiority randomised control trial of the effectiveness of the home based Self-management Programme of Activity Coping and Education (SPACE for COPD) in comparison to PR in patients with COPD. Methods: Validation of methods; One subject (EH) completed a battery of repeated walking tests using the speeds from the endurance shuttle walk test. Minute by minute energy expenditure (EE) and step counts were recorded from 9 SWM and indirect calorimetry was used as the criterion measure to determine the validity of EE output from the monitor.
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Alwyn, C. "A randomised controlled trial to investigate the effectiveness of a brief psychological intervention used as an adjunct to a home detoxification programme." Thesis, Swansea University, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.635771.
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Home detoxification is a recognised method of treating problem drinkers within their home environment and, therefore, eliminating many of the problems associated with a hospital admission. The aim of this research is to determine whether a relatively brief psychological intervention can add to the effectiveness of such a service. Community Psychiatric Nurses were trained to administer the brief psychological intervention that involved motivational interviewing, coping skills and social support. A manual was developed in order to standardise the training and implementation. Training was carried out in a half-day workshop at each site. Baseline and outcome assessments included measures of alcohol consumption, days abstinent, alcohol-related problems, severity of dependence, desire to drink, drinking situations, social support and satisfaction, health care utilisation, self-esteem, perception of health as well as demographic data. Outcomes measured at the 3-month and 12-month follow-up indicate that the psychological intervention resulted in significant positive changes in alcohol consumption, abstinent days, social satisfaction, self-esteem and alcohol-related problems. A step-wise regression analysis indicated that the best predictors of outcome were alcohol related problems, confidence in remaining abstinent in drinking situations and self esteem. A cost analysis confirmed that the psychological intervention resulted in wide ranging health service benefits and was a ninth of the cost of inpatient treatment. It was concluded that home detoxification is safe and effective for all drinkers, including those who are severely dependent. Recommendations included that this psychological intervention be integrated into normal practice.
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Adekunle, Ademola Olusegun. "Factors affecting the uptake of pulmonary rehabilitation and the effectiveness of a video based home exercise programme in patients with chronic obstructive pulmonary disease." Thesis, University of Hertfordshire, 2016. http://hdl.handle.net/2299/17183.
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Introduction: The participation profile of patients with chronic obstructive pulmonary disease (COPD) in pulmonary rehabilitation (PR) and the effectiveness of a video-based home exercise programme (VBHEP) were investigated using various research methods. Methods: The content analysis of the Move-On-Up exercise video against NICE guidelines and published research was performed. The video was evaluated for its suitability for use in VBHEP through focus groups involving UK population of patients with COPD and respiratory clinicians. Using the data from the content analysis and the focus groups, questionnaire items were synthesised for a national survey of both patients and clinicians. A study examined the relationship between participation in outpatient PR and patient measures of depression (Brief Assessment Depression Card), social support (Duke Social Support Index), multidimensional health locus of control (MHLC) and COPD severity (Medical Research Council dyspnea score). A randomised control trial (RCT) evaluated the effect of combining VBHEP and conventional outpatient PR on walking ability and PR benefit maintenance. The intervention arm received VBHEP concurrently with outpatient PR, while the control arm received only outpatient PR. Outcome measures included: the endurance shuttle walk test (ESWT), quality of life (QoL) (St George's Respiratory Questionnaire- SGRQ), MHLC and a modified Follick's activity diary. Measures were taken before PR, at the fourth and eighth weeks of PR and at six months post-PR. Focus groups were conducted between six and 20 months post-PR to evaluate patients' experience of and adherence to the use of VBHEP. Results: Critical review of 46 RCTs aided evaluation of the video demonstrating that the video content was consistent with both NICE recommendations and published research. The six focus groups that were part of the initial evaluation of the video involved 14 patients and 14 clinicians. The national survey generated responses from 60 patients and 62 clinicians; between 79 and 100% of respondents in each domain of the questionnaire indicated that the video is suitable for use. Fifty-one patients completed the study investigating the profile of patients participating in PR. The results indicated that depression has a moderate and negative statistically significant association with the uptake of PR (p < 0.05). Fifty-seven patients participated in the RCT [mean age 66.51 years (SD 9.96), mean FEV1% predicted 54.51% (SD 10.47)]. The results indicated that the use of VBHEP with outpatient PR has no significant additive effect in improving or maintaining the benefits of walking ability following PR (p<0.05). Seven patients participated in the follow-up focus groups where findings suggested that patients were still participating in VBHEP up to 20 months after it was first prescribed, though the frequency of its use appeared to diminish after PR ended. Conclusion: The Move-On-Up exercise video is suitable for VBHEP in patients with COPD. Patients with COPD and depression are less likely to take up a referral to PR compared to those without depression. The use of VBHEP concurrently with PR has no additive effect in improving or maintaining benefits of walking ability following PR. Adverse social circumstances and disease severity reduce the duration of participation in VBHEP.
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McCloskey, Sharon Elizabeth Ann. "The “Growing Family Strengths Programme” : development of a nurse led, home based, early intervention to enhance resilience in parents of children with complex health needs." Thesis, Ulster University, 2017. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.725122.
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Background: Globally, government strategy recognises that parents of children with complex health needs experience additional demands and require support to maintain their wellbeing. Enhancing resilience provides a pathway to influence wellbeing. Currently there are no theoretically driven interventions targeting resilience in these parents. This study addresses this gap. Aim: To develop and validate an intervention to enhance resilience in parents of children with complex health needs. Methods: A four stage study guided by the Medical Research Council’s (2008) framework. Stage 1) a systematic review of current evidence relating to resilience theory and group interventions targeting resilience in this population; stage 2) a qualitative study to inform the intervention’s design; stage 3) development of the intervention; stage 4) a qualitative study to face validate the intervention. Nineteen parents and 21 healthcare professionals recruited from 2 Health and Social Care Trusts and one voluntary organisation in Northern Ireland participated in Stages 2 and 4. Thematic content analysis was applied to data collected through interviews, focus groups and workshops. Key findings: Parent narratives aligned with resilience theories reflecting the demands experienced and the strategies used to offset demands. Key themes included 1) the journey: 2) diminishing circles of support and 3) the impact of professionals on family life. The proposed design, a structured group intervention was of limited appeal and was therefore amended, becoming the “Growing Family Strengths Programme”, an early intervention initiative to be delivered by skilled professionals with parents in their own home. Face validation (Stage 4) assessment confirmed support for the re-design. Conclusions: Resilience theory provides a relevant framework to develop interventions to promote wellbeing. Assisting parents to navigate their world is a critical resilience enhancing process. Core professionals are well placed to assist families but require additional training. Developing practitioner skills through the programme and integrating resilience enhancing activities into practice holds promise as a means of enhancing resilience capacity in these parents.
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Al-aoufi, Hiam. "An investigation into issues related to the establishment of a parental training course to develop an early intervention home-based programme for children with autism." Thesis, Brunel University, 2011. http://bura.brunel.ac.uk/handle/2438/6192.
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Context: The aim of the proposed research is to investigate autism early intervention in Saudi Arabia, taking into account the reality that such services are in a relatively early stage of development in Saudi Arabia due to the current limited experience in the autism domain generally and in early intervention programmes specifically. As such, this study was intended to act as a basis for gaining a greater understanding about how such services could be developed in Saudi Arabia in the future. Indeed, special attention was given to the cultural specifications to see if such programmes can be implemented and adapted to fit the needs of the families in Saudi Arabia. Objective: The aim is to develop the parental training programme that emerges from parents‟ needs in relation to their children with autism in which a parental training programme can be developed that leads to the establishment of a home-based intervention programme. Method: The constructivist grounded theory approach used to identify programme components, their implementation and effectiveness. Data collected from (20 interviews, 251questionnaires, 8 programme evaluation sheets, parental stress index short form (PSI-SF). Results: The present study suggested a parental training course framework with a detailed description of its components, delivery approach and evaluation process. This study also provided clear evidence that the current suggested parental training framework targeted the participants' needs and provided them with the support, the information and the skills that they needed at the post diagnosis stage. Conclusion: This result can sensitise services providers in establishing a parental training programme to help empower parents to administer some of the therapies to their autistic children that are needed on a day to day basis, with the minimal amount of stress to the parental life style.
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Henderson, Maureen. "Making meal times better for those with a dementia : the impact on nursing home residents and health care assistants of a feeding assistance training programme." Thesis, University College London (University of London), 2012. http://discovery.ucl.ac.uk/1354621/.
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This project evaluates the effectiveness and impact of a feeding assistance programme ‘Making Meal Times Better for those with a Dementia’ (MMB) supported by five sixty minute health professional led support forums as compared to a three hour MMB standalone version and control conditions for health care assistants (HCAs) working with residents with a dementia and oral feeding difficulties. Outcomes were evaluated for 90 participating health care assistants and 451 observed meal times across three nursing homes. Measures of staff knowledge, competency, attitudes and daily care practices were measured using self completion questionnaires alongside observations of the quality of and adequacy of mealtime feeding assistance pre- and five months post intervention, using purposive sampling. HCAs who participated in support forums maintained significantly better knowledge and competency scores five months following training compared to those who received the stand-alone three hour MMB training programme and control conditions. Observations of mealtimes revealed that the nursing home exposed to greatest duration of training demonstrated most improvement in the provision of quality feeding assistance: actively identifying and providing targeted feeding assistance to those residents deemed at risk of malnutrition and relocating more residents into the communal dining room. Beneficial changes were accompanied by a significant reduction in social stimulation. Control conditions demonstrated several changes in feeding behaviours which may be attributed to attempts to increase oral intake without sufficient training. Training increased the food consumption of those residents at risk of malnutrition but did not increase food consumption overall or the high levels of stress and guilt experienced by HCAs. Lack of social cueing and less than five minutes of feeding assistance were correlated with increased risk of malnutrition across nursing homes. A paucity of HCA documentation of oral intake in medical records suggests an organisational barrier to the translation of HCA knowledge to the wider healthcare team.
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Khondowe, Oswell. "A home-based physical activity programme in combination with massage therapy to improve motor and cognitive development in HIV positive children on antiretroviral therapy: A randomised controlled trial." Thesis, University of the Western Cape, 2014. http://hdl.handle.net/11394/4019.
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Philosophiae Doctor - PhDThe aim of this study was to prospectively, evaluate the effectiveness of an individually designed home-based physical activity programme in combination with massage therapy, on motor and cognitive development in children infected with HIV. This study used a randomized controlled trial design. One hundred and twenty-eight infants and toddlers (children) were recruited between March 2010 and September 2010 and randomly allocated to receive either an individually designed home-based physical activity programme in combination with massage therapy or standard treatment and massage on a 1:1 ratio. Motor and cognitive development was measured using the Bayley Scales of Infant Development third edition (Bayley-III)
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Veitzman, Shoshana. "Coming home to a strange land : empowering Ethiopian immigrant students by teaching self-determination skills : the case of an intervention programme in a youth village in Israel." Thesis, University of Bath, 2004. https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.411990.
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Calitz, Maria-Lina Lusitano. "A social work training programme for caregivers of infants in San Bernardino County, California." Thesis, Pretoria : [s.n.], 2004. http://upetd.up.ac.za/thesis/available/etd-09222005-152848.
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Chaparro, David. "Effets d'un programme d'incitation et d'éducation à l'activité physique à domicile chez des patients post-AVC en phase subaiguë sur la performance au test de marche de 6 minutes." Thesis, Limoges, 2018. http://www.theses.fr/2018LIMO0074/document.
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L’objectif de ce travail était d’’évaluer les effets d’un programme d’incitation et d’éducation à l’activité physique, à domicile chez des patients post-AVC en phase subaiguë, sur la performance au test de marche de 6 minutes (TM6M) et son maintien à six mois de l’arrêt du programme. Il s’agissait d’un essai clinique comparative, prospective, randomisée, en simple aveugle et monocentrique. La population de l’étude était composée de 84 patients post-AVC (Age 61.7 ± 13.2 ans, délai de l’AVC 2.5 ± 1.5 mois). Quarante-deux patients ont été randomisé pour le GE et 42 patients pour le GC. Le GE a suivi un programme d’incitation à l’AP à domicile pendant 6 mois. Trois moyens d’incitation ont été utilisés ; un accéléromètre (Armband Sensewear, Bodymedia), des appels téléphoniques hebdomadaires et des visites à domicile toutes les trois semaines. Également, une séance d’éducation sur l’AP et la fixation des objectives en termes du nombre de pas et de la durée de l’AP a été réalisée avant de commencer le protocole. Le GC a reçu simplement une information sur les bienfaits de l’AP et sur le niveau d’activité à réaliser selon les recommandations de pratique post-AVC. Les critères d’évaluation secondaires ont été l’échelle « fonctionnal ambulation classification » (FAC), l’indice de barthel (IB), l’indice moteur (IM), la qualité de vie (Euroqol-5D), la composition corporelle, le questionnaire « Health Care Comunication Questionnaire » (HCCQ), l’Echelle Visuelle Analogique de la douleur (EVA), le questionnaire Hospital Anxiety and Depression Scale (HADS) et questionnaire Multidimensionnal fatigue Inventory 20 (MFI-20). Les patients ont été évalué avant (T0), après l’intervention (T1) et six mois après l’arrêt du programme (T2). Les résultats montrent une augmentation significative de la distance de marche parcoure entre T0 et T1 pour le GE (18%, p<0.001), malgré cette augmentation, il n’y a pas de différence entre GE et GC à T1 (p=0.30). Une augmentation significative du score de FAC (+0.75, p=0.02) a été constaté pour le GE à T1, cette augmentation était différente entre les deux groupes (p=0.0013). A l’inverse, une diminution significative du score MFI-20 (-4.6, p<0.001) a été constaté pour le GE à T1, cette diminution était différente entre les deux groupes (p<0.001). A T2 les effets du programme sur le périmètre de marche (p=0.75), la capacité fonctionnelle (p=0.17) et la fatigue (p=0,74) se sont maintenus. Aucun effet n’a été constaté pour le reste des variables. De plus, en fin d’intervention le GE atteint les recommandations d’AP par jour, en termes de pas (5955 ± 5475) et de durée (105 ± 75 minutes)The aim of the study was to evaluate the effect of a home-based physical activity incentive program on the 6 minutes walking distance performance (6MWT) and its evolution, 6 months after the end of the program. This is a comparative, prospective, randomized, single-blind and monocentric clinical trial. Participants were 84 post-stroke patients (average age 61.7 ± 13.2 years, time since stroke 2.5 ± 1.5 months). Forty-two patients were randomly assigned to an experimental group (EG) and the other forty-two to a control group (CG). EG followed a home-based physical activity incentive program for 6 months. Three incentive methods have been used; an accelerometer (Armband Sensewear, Bodymedia), weekly telephone calls, and home visits every three weeks. In addition, educational session about physical activity and information about physical activity recommendations were conducted before the start of the protocol. CG received general information about physical activity benefits and post-stroke practicing activity recommendations. Other assessment criteria were functional ambulatory classification (FAC), barthel index (BI), motricity index (MI), quality of life (Euroqol-5D), body composition, the health care communication questionnaire (HCCQ), visual analog scale of pain (VAS), the hospital anxiety and depression scale (HADS), the multidimensional fatigue inventory 20 questionnaire (MFI-20). Patients were evaluated before intervention (T0), after intervention (T1) and 6 months after the end of the program (T2). Walking distance increased significantly in the EG between T0 and T1 (18%, p<0.001); however, there was not a significantly difference between EG and CG at T1 (p=0.30). The score of FAC increased significantly (+0.75, p=0.02) in EG at T1, but it was different between EG and CG (p=0.0013). Furthermore, MFI-20 score decreased significantly at T1 (-4.6, p<0.001) for the EG, it results was different between both groups (p<0.001). The program effects on walking distance (p=0.75), functional ability (p=0.17), and fatigue (p=0.74) at T2 were maintained. No significant effect of other variables was found. In addition, at the end of the program, the EG achieved the physical activity recommendation per day, step number (5955 ± 5475) and activity duration (105 ± 75 minutes)
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Venter, Maria Dorothea. "The development, implementation and evaluation of a housing education literacy programme for semi-literate recipients of government subsidised housing." Thesis, Stellenbosch : University of Stellenbosch, 2006. http://hdl.handle.net/10019.1/1096.
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Thesis (PhD (Consumer Science))--University of Stellenbosch, 2006.In the ten years since the inclusive elections of 1994, the South African government has created an international precedent in the housing field. It is widely acknowledged that in this period it has delivered more subsidised houses than any other country in the world. The housing backlog is still between 2 to 3 million and growing every year, so housing policies for the future must continue to , not only provide subsidised housing for a large part of the population but also seeking to establish a viable market for low-cost housing units and to create sustainable human settlements for low-income groups. There are a therefore large numbers of new consumers that enter the housing market for the first time.
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Errington, Gail. "An investigation of factors contributing to the sustainability of home safety equipment schemes in communities at higher risk of injury : a multiple case study based on a national programme in England." Thesis, University of Nottingham, 2015. http://eprints.nottingham.ac.uk/30881/.
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Background: Unintentional injury in the home setting is the leading cause of mortality and morbidity among pre-school children in the UK. Multi-component, community-based intervention programmes are a recommended means of addressing injury. England operated a national home safety programme based on this approach from 2009 to 2011. The programme was targeted at high risk families and supported through national government funding. Little is currently known about the sustainability of injury prevention programmes, despite its relevance to public health planners and policy makers. Studies of programme sustainability in the global public health literature reveal an over-reliance on self-reported data from a single source and often under represent the target group perspective. Aim and setting of the current study: The current study aims to explore influences on the sustainability of a multi-component injury prevention programme targeted at high risk communities in England. Study design: The multiple case study design used qualitative methods to explore programme and contextual influences on sustainability in five sites. Multiple perspectives were considered including those of families in the target group and professionals involved in scheme delivery. Local, national and global public health policy documents were reviewed to understand the wider context for scheme sustainability and to corroborate research findings. Interviews with stakeholders in injury prevention policy at national and international level were undertaken to explore the conceptualisation of sustainability. Framework analysis was conducted within-case and to identify cross-case over-arching themes. The analytic framework, display matrices and production of case study profiles documented the analysis stages. ‘Thick description’ assists the consideration of transferability of findings to other settings. Principal findings: Little consensus was apparent in the conceptualisation of sustainability among policy makers. Although programme sustainability was seen as relevant to those agencies influential in policy development, this was not reflected in policy documents. Funding availability and a supportive local context for scheme delivery were identified as the two main conditions required for sustainability. Ongoing change within the national political and economic context in England challenged sustainability efforts of local schemes. Three key strategies to actively encourage sustainability were identified: programme adaptation; presence of a co-ordinator or champion and extending collaborative networks. The adoption of these varied in response to contextual changes over time. Ongoing benefits of the scheme were identified in all sites. These included improved safety practices reported by the target group and increased access to harder-to-engage families for scheme professionals. Programme components displayed differential levels of fidelity between and within sites over time. Based on the study findings, a conceptual framework for promoting the sustainability of community-based child injury prevention programmes is presented. Conclusions: This is the first study to comprehensively explore the sustainability of a community-based injury prevention programme in England. It has identified influences on sustainability that contribute to and support findings from other areas of public health. The proposal of a conceptual framework to promote sustainability within community-based child injury prevention programmes makes an original contribution to the field. Potential transferability of study findings suggests that public health gain may be increased by sharing the knowledge base between topics. The study identified considerable challenges to sustaining local public health initiatives amidst ongoing change in the wider political and economic environments. Educating practitioners and policy makers could improve understanding of sustainability and enhance the future prospects for local initiatives. It is therefore recommended that sustainability should form an integral part of the programme planning cycle for public health initiatives.
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Arisunta, Caroline. "The aftermath of domestic violence: Listening to women’s voices of their experiences." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2022. https://ro.ecu.edu.au/theses/2610.
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Intimate Partner Violence (IPV) has been acknowledged as a significant social problem in Australia. It is one of the principal causes of injury, death, and illness among women. It affects individuals irrespective of their race, ethnicity, socio-economic status, beliefs, or age. Although it affects all genders, studies have acknowledged that more women are affected by IPV than men. While contemporary research has demonstrated progress in establishing programs and laws in relation to IPV, few studies have explored victim’s safety concerns in the aftermath of IPV.
This study analyzed women’s voices after leaving intimate violent relationships and factors that enabled them to choose assistance from either the Refuge program or the Safe at Home programs. The aim of this study was to understand women’s experiences by examining their safety/security issues regarding physical, economic, legal and identity security factors and how they make meaning of their experiences. To achieve these aims, the study employed qualitative methods including in-depth interviews to elicit women’s narratives about their experiences of safety/security either under the Refuge or the Safe at Home programs (See Appendices 1-4). The participant sample consisted of 15 individuals: four from the Refuge program, eight from the Safe at Home program, and three key informants from among the Refuge staff. The study identified four pillars that enabled women to leave IPV and seek assistance from either the Refuge or the Safe at Home programs: (1) Physical security (the need for security and safety while experiencing homelessness); (2) Legal security (access to police, legal aid, protection orders and a fair trial, and perpetrator contempt of the criminal justice system, removal of the perpetrator from home, police response and the right to remain); (3) Economic security (access to social security payments, employment services, affordable housing and availability of alternative income sources); and (4) Identity security (access to a safe cultural program, access to informal and formal networks and supports and self-efficacy, and the role of motherhood).
From these four pillars a theoretical model positioned within an ecological perspective and feminist standpoint emerged in this research. Each component consisted of individual, micro, meso, macro-level factors identified as key in contributing to a woman’s sense of safety. This model will assist in enhancing women’s safety experiences in the Refuge and Safe at Home programs with important implications for policy, practice, and future research.
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Raffin, Jérémy. "Effets d’un programme de marche « rapide » sur le système nerveux autonome chez le sujet âgé en EHPAD : Effet additif de la neurostimulation transcutanée du SNA." Thesis, Lyon, 2019. http://www.theses.fr/2019LYSES056.
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L’activité physique représente un moyen efficace pour retarder le déclin des fonctions physiologiques associé au vieillissement. En outre, la baisse d’activité du système nerveux autonome liée à l’âge s’accompagne d’une augmentation du risque de décès et d’événements cardiovasculaires qui pourrait être prévenue par l’exercice régulier. Par ailleurs, un champ grandissant de la recherche scientifique s’intéresse depuis quelques années aux bienfaits thérapeutiques de la neurostimulation vagale non invasive dans le traitement de nombreuses pathologies telles que l’inflammation, la douleur, la dépression ou encore les troubles du rythme cardiaque. Il a été montré que la stimulation auriculaire transcutanée du nerf vague (NSVt) permettait de rééquilibrer la balance sympatho-vagale et pourrait donc constituer un complément efficace à l’activité physique pour le maintien des fonctions végétatives chez la personne âgée.Cette thèse s’intéresse aux effets chroniques et aigus de l’exercice aérobie et de la NSVt sur l’activité du système nerveux autonome du sujet âgé institutionnalisé. Elle s’inscrit dans le cadre de l’étude contrôlée et randomisée intitulée « Marche rapide en EHPAD » (ClinicalTrials.gov Identifiant: NCT03302923) menée au sein du laboratoire SNA-EPIS (Système Nerveux Autonome – Épidémiologie, Prévention, Ingénierie, Santé, directeur : Professeur Frédéric Roche) via la MutualitéFrançaise Loire Haute-Loire.La première partie de ce travail est un état de l’art construit en six chapitres. Les trois premiers présentent les bases de la physiologie du système nerveux autonome cardiovasculaire et son exploration par la mesure de la variabilité de la fréquence cardiaque et de la sensibilité baroréflexe. Les deux chapitres suivants dépeignent l’évolution du contrôle végétatif cardiaque au cours du vieillissement et les adaptations liées à l’exercice chronique et aigu. Enfin, un dernier volet porte sur les bénéfices de la neurostimulation vagale comme modalité de prise en charge d’une grande variété de pathologies, notamment cardio-végétatives.La seconde partie présente les résultats de plusieurs études menées au sein du projet « Marche rapide en EHPAD ». La première est une méta-analyse compilant les données des protocoles d’entrainement aérobie publiés chez le sujet de plus de 60 ans. Elle démontre un effet atténué de l’exercice avec une réponse fréquence-dépendante sur la variabilité de la fréquence cardiaque. Une deuxième étude porte sur l’effet aigu d’une séance de marche rapide associée à de la neurostimulationvagale sur la récupération cardio-végétative chez la personne âgée. Elle met en évidence une amélioration de la résilience autonomique sous l’effet de la neurostimulation du SNA. Une troisième étude explore les effets d’un programme de neuf mois en marche rapide, une fois et trois par semaine, chez le sujet institutionnalisé, et révèle un effet favorable de l’exercice régulier sur l’activité parasympathique et sur la fragmentation cardiaque (article en préparation). Cette étude corrobore lesrésultats d’un protocole similaire menée récemment chez des sujets apnéiques au sein du même laboratoire. Enfin, une étude ancillaire au protocole nous a également permis de modéliser les réponses fonctionnelles à l’entrainement et de déterminer chez le sujet âgé une durée journalière de 14 minutes de marche comme dose optimale pour l’amélioration des fonctions locomotrices et cardiorespiratoires évaluées par le test de marche de 6 minutes (Busso et al. article soumis).En conclusion, ce projet démontre que l’activité physique régulière s’avère bénéfique au maintien du contrôle cardiaque végétatif et des capacités fonctionnelles chez le sujet institutionnalisé de plus de 60 ans, et que son effet pourrait être potentialisé par la neurostimulation non invasive du nerf vague. Ces résultats ouvrent la voie à de futures études qui pourraient explorer les mécanismes à la base des observations mises en évidence par ces travauxPhysical activity constitutes an effective strategy to slow down the age related decline ofphysiological functions. The decrease of the autonomic nervous system activity that occurs with age isassociated with an increase of cardiovascular and mortality risks that could be prevented by regularphysical exercise. In the last few years, a growing field of the scientific research has been focusing onthe therapeutic benefits of transcutaneous vagus nerve stimulation (tVNS) as a non-drug treatment fornumerous pathologies such as inflammation, pain, depression, and cardiac rhythm disorders. It hasbeen demonstrated that tVNS could enhance the sympathovagal balance toward parasympatheticpredominance. Thus, such a device might constitute an interesting tool to potentiate the favourableeffects of physical exercise on the autonomic nervous system in aged people.The present work focuses on the effects of both physical exercise and transcutaneous vagus nervestimulation on the autonomic nervous system activity in old people. It belongs to a large randomizedclinical trial entitled “Brisk Walking in Nursing Home Residents” (ClinicalTrials.gov ID:NCT03302923) conducted by the Autonomic Nervous System Laboratory (Pr Frédéric Roche) withinthe nursing homes of the Mutualité Française Loire Haute-Loire, France.The first part of this manuscript depicts the scientific rational through six chapters. The first threeones describe the physiological basis of the cardiac autonomic nervous system and its explorationthrough the measure of heart rate variability and baroreflex sensitivity. The next two chapters presentthe evolution of the cardiac autonomic control during the ageing process and the physiologicaladaptations related with chronic and acute physical exercise. The last strand concerns the benefits ofvagus nerve stimulation as a treatment modality of various pathologies, including cardiovasculardisorders.The second part of this work illustrates the results of several investigations conducted within the“Brisk Walking” project. The first study is a meta-analysis gathering aerobic training protocolspublished in people aged 60 and over. It demonstrated a moderate effect of physical exercise with atraining frequency-response relationship on heart rate variability. A second study investigated theeffects of an acute brisk walking exercise associated with tVNS on the cardiac autonomic controlrecovery in the elderly. It demonstrated an enhancement of autonomic resilience through ANSstimulation (Raffin et al. submitted article). A third study explored the effects of a nine month briskwalking training practiced once or thrice a week in institutionalized people. It revealed a favourableeffect on parasympathetic control and on heart rate fragmentation in subjects trained thrice a week.Lastly, an ancillary study enabled us to model the functional responses to walking training and showedthat 14 minutes of brisk walking constitutes an optimal daily dose to enhance the cardiorespiratory andlocomotor functions assessed with the six minute walking test (Busso et al. submitted article).In conclusion, this project demonstrates that regular physical activity induces beneficial effects onthe cardiac autonomic control and functional capacity in institutionalized people aged 60 and over.These benefits might be potentiated by the use of transcutaneous vagus nerve stimulation. Futurestudies might explore the mechanisms underlying the observations highlighted in this work
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Parsons, Matthew. "Exercise and old age : is it worth the effort : a randomised controlled investigation of a standardised exercise programme (Look After Yourself) on a group of elderly people of differing disability level, living either at home or within institutions." Thesis, King's College London (University of London), 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.289874.
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Rubavičius, Martynas. "Individualios kineziterapijos programos poveikis asmenų, jaučiančių apatinės nugaros dalies skausmą, su sveikata susijusiai gyvenimo kokybei ir skausmo intensyvumui." Master's thesis, Lithuanian Academic Libraries Network (LABT), 2014. http://vddb.library.lt/obj/LT-eLABa-0001:E.02~2014~D_20140123_113358-16391.
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Nugaros skausmas gydomas taikant kompleksines reabilitacijos priemones, tačiau ir po jų taikymo kai kuriem pacientams išlieka vidutinio intensyvumo skausmas ir gyvenimo kokybė pagerėja ne visose srityse. Šio darbo tikslas yra nustatyti, kuriose sveikatos srityse po sėkmingo II reabilitacijos etapo įveikimo, išlieka tam tikri apribojimai ir nustatyti individualios kineziterapijos programos poveikį su sveikata susijusiai gyvenimo kokybei ir skausmo intensyvumui.Back pain is treated through complex rehabilitation measures, however, some of health indicators remains unchanged. The goal of this study is to determine which health indicators remains impaired at the end of 2nd stage of rehabilitation, and to determine the effectiveness of individual physical therapy programme for quality of life and pain intensity.
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Tully, M. A. "The effects of home based walking programmes on cardiovacular risk factors." Thesis, Queen's University Belfast, 2004. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.411820.
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Dunn, David Richard. "Home truths from abroad : television representations of the tourist destination." Thesis, University of Birmingham, 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.343895.
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Carbajal, Velazco Noé Alberto. "New trends in densification projects within the Million Homes Programme areas." Thesis, Malmö universitet, Fakulteten för kultur och samhälle (KS), 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-23813.
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The urban densification projects launched in many Swedish cities in recent years supposedly lead to more sustainable urban environments, according to those responsible; solving the shortage of housing units and using the urban infrastructure and other resources in a more efficient way. But many of the proposed projects face a lot of criticism when they are located within the Million Homes Programme areas due to their current situation: social segregation, unemployment, as well as the perception of the permanent increase in insecurity. The voices that are raised against these projects go mainly against their models of conception and management; because those projects will not solve the social problems of the current residents; on the contrary, they will further exacerbate social differences within the city. The main hypothesis of this work is that since much regeneration or urban densification projects have already been carried out within the Million Homes Programme areas, then there must also be some good examples that should be identified and used as a reference to improve the urban regeneration practices in those types of areas.The aim of this study is to investigate if within these new projects there are some that could be considered as better practices of how to do more sustainable urban densification processes in those Million Homes Programme areas. For that the concepts of legitimacy and sustainability are crucial variables to evaluate and identify them. Due to the limitations of the work, the first part identifies and performs a general comparative analysis of six densification projects developed within neighbourhoods built under the Million Homes Programme located in the cities of Malmö and Växjö. In the second part, after a critical analysis two projects are chosen that could be considered as the better practices and perform a second critical analysis to both in a deeper way, to generate the necessary discussion and finally reach conclusions and recommendations.The work is based on qualitative research and complemented with grounded theory and case-study theory, (flexible design), those that served to design specific tools for the analysis purposes of the cases. Among the main findings during the research process were that the failures or weaknesses of some projects are mainly due to the lack of social commitment with local residents (many of them immersed in vulnerable economic and social situations) due to the distancing of the public agencies (municipalities) of the project, while in other projects a social agenda has been incorporated as part of the processes in favour of current residents, which also means the permanent commitment of local governments to these projects, actions that contribute to greater possibilities of achieving sustainability.
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Lo, Kwan-ki. "A review on the Hong Kong detention centre programme." Hong Kong : University of Hong Kong, 2000. http://sunzi.lib.hku.hk/hkuto/record.jsp?B22030529.
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