Dissertations / Theses on the topic 'Interventions'

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1

Mortlock, Alice Mary. "Assessing the Conditions for Multilateral Interventions or Non-Interventions: Intervention and Non-Intervention in the Asia Pacific Region." Thesis, University of Canterbury. Political Science and Communication, 2006. http://hdl.handle.net/10092/933.

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The focus of this thesis has been on the identification of the primary conditions that attract or deter multilateral interventions into internal conflicts in the Asia Pacific region. This thesis develops a framework which is applied to four cases of internal conflict to see what roles twenty-two structural and perceptual conditions have played in determining why multilateral intervention was initiated in two of the cases, and why multilateral intervention failed to be initiated in the other two cases. The research found that multilateral organizations will accept risks and costs associated with intervention if certain structural and perceptual conditions make intervention an attractive option. These conditions are, a favourable or significant international environment or international event(s), the consent of a sovereign state (even if it is induced), sustained and critical regional and international media coverage, a complete collapse of the state in conflict tainting it with the term 'failed state', a high probability of success, potential economic benefits, a humanitarian crisis (in respect of Unregulated Population Movements and genocide/politicide), the possibility of a clear exit strategy, and a self-interested Member State who can greatly subsidize an intervention. Multilateral non-interventions, on the contrary, are driven by a combination of a lack of sustained and critically analyzed media coverage on conflict issues and consequences, generally positive tactics and strategies adopted by disputants, conflicts of a long duration, the international environment, economic factors unfavourable to intervention, resistance levels to intervention or a failure to call for intervention, lack of any clear exit points, and an escalation phase. The importance of these conditions suggest that multilateral organizations are reluctant to take risks and costs when political will, for the collective and self, are not provoked. Consequently, particular structural and perceptual conditions trigger or influence political will. The analysis of four case studies (East Timor, Solomon Islands, Philippines (Moros), and West Papua) concludes that multilateral interventions will be the exception to the rule in the foreseeable future given the obvious selection bias evident in these policies, and the project questions the ad hoc determinants of current multilateral intervention policies.
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2

Harrison, April. "Middle School Tier 2 Vocabulary Interventions." Thesis, University of Oregon, 2015. http://hdl.handle.net/1794/19244.

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This study investigated a Response to Intervention (RtI) practice at the middle school level using a randomly assigned Tier 2 vocabulary intervention. Although RtI research has documented improvement in the academic performance of elementary-aged students, RtI research in support of improved student performance in secondary schools is not prevalent. This study randomly assigned 86 sixth, seventh, and eighth graders into either the treatment or control condition. The purpose was to investigate whether middle school vocabulary instruction impacted vocabulary and/or comprehension growth for identified at-risk students. The experimental condition showed significant results for vocabulary (p=.011) but not comprehension (p=.657) on easyCBM outcome measures. Results are discussed in relation to teaching vocabulary independent of teaching comprehension directly.
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Smith, Lindsay C. "Organizational Change Development Interventions: Are Multiple Interventions Useful?" Thesis, University of North Texas, 2005. https://digital.library.unt.edu/ark:/67531/metadc4802/.

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The effects of multiple interventions in organizational development change were studied in a comprehensive meta-analytic review. Thirteen organizational interventions were assessed on five outcome variables based upon previous research of six major meta-analytic reviews. Findings based on 138 studies indicated that there were no significant effects of multiple interventions on positive organizational change as opposed to individually implemented interventions. The findings are not congruent with previous findings of organizational development change, and possible issues surrounding these differences are discussed.
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Parker, Michael W. "Impact of adventure interventions on traditional counseling interventions /." Full-text version available from OU Domain via ProQuest Digital Dissertations, 1992.

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5

Yang, Rena M. Arch Massachusetts Institute of Technology. "Atmospheric interventions." Thesis, Massachusetts Institute of Technology, 2015. http://hdl.handle.net/1721.1/97278.

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Thesis: M. Arch., Massachusetts Institute of Technology, Department of Architecture, 2015.
This electronic version was submitted by the student author. The certified thesis is available in the Institute Archives and Special Collections.
Cataloged from student-submitted PDF version of thesis.
Includes bibliographical references (page 135).
Humans have been sheltering themselves from the harsh elements of their surroundings to maintain comfort since the discovery of the hearth. With the rise of the Industrial Revolution came innovations that made mitigating external conditions convenient and easy. The standard 70 degree Fahrenheit, with 30-candle-feet of illumination, 30-50% humidity, and ventilation became the norm and is replicated and placed regardless of existing conditions, creating homogeneous environments. Our conventional conception of the relationship between architecture and the environment is based on false assumptions that we reside comfortably in the standard air-conditioned 70 degrees, effectively producing desensitizing spaces. For a body to understand and experience space, it is important for these environments to have an atmospheric affect that is absorbed through the senses. Architecture is then seen as a stimulus by provoking and challenging the body and creating a consciousness of body and environment. This thesis states that the sensorial appreciation in architecture can be explored through sequenced and curated experiences of architecture to use, amplify and appease the senses. This creates new atmospheric conditions conceived of relative sequencing and juxtapositions, rather than appeasing and mediating the existing environment. This idea is explored through three interventions on the Harvard Bridge in Boston, Massachusetts that seeks to engage the hostile environmental conditions.
by Rena Yang.
M. Arch.
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6

Gorman, C. Allen. "Organizational Interventions." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/414.

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7

Kramer-Jefferson, Kathryn R. "Behavior Intervention Teams| Examining Interventions with Community College Students Threatening Self-Harm." Thesis, Frostburg State University, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10608638.

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Effective in 2011, The Department of Justice implemented a change to the direct threat standard, which is part of Title II of the Americans with Disabilities Act. This change removed the threat of harm to self from the direct threat standard and potentially limits the actions that colleges can take when working with and responding to students who threaten self-harm. This study sought to determine how this change influenced the work of behavior intervention teams when responding to community college students who threaten self-harm. Higher numbers of students are arriving on college campuses with significant mental health challenges, especially community colleges that typically have open enrollment policies and attract at-risk students. Many behavior intervention teams were formed in the aftermath of the Virginia Polytechnic Institute and State University shootings in April 2007, some through state mandates, and others as best practices. This multiple-case study gathered information from community college behavior intervention teams regarding these changes, as well as their current procedures when responding to this student population. The intent of this research study was to provide guidance and contribute to best practices among community colleges, when responding to and intervening with students threatening self-harm.

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8

Bob-Manual, Kio Laurence. "Military intervention in Africa : External military interventions and security prospects in Africa." Thesis, University of Bradford, 1990. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.290250.

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9

Mashishi, Alfred Kgwadibd. "Intervention in Africa: assessing the rationale behind sub-regional peacemaking military interventions." Thesis, Monterey, California. Naval Postgraduate School, 2003. http://hdl.handle.net/10945/1088.

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Approved for public release; distribution is unlimited
This thesis examines the factors that are more likely to lead to peacemaking military intervention by a sub-regional hegemon in Africa. It seeks to answer the question of what motivates the sub-regional hegemons to undertake peacemaking military intervention in Africa. It argues that the emerging model of African peacemaking military intervention depends on a sub-regional hegemon's decision to intervene because of its ability to provide necessary resources needed for such operation. Hence, the sub-regional hegemon will conduct peacemaking military intervention when, where and if it suits its interest. The conclusion reached by this thesis is that self-regarding peacemaking intervention by sub-regional hegemon is effective in resolving conflicts in Africa.
Lieutenant, South African Navy
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10

Mashishi, Alfred Kgwadibe. "Intervention in Africa : assessing the rationale behind sub-regional peacemaking military interventions /." Monterey, Calif. : Springfield, Va. : Naval Postgraduate School ; Available from National Technical Information Service, 2003. http://library.nps.navy.mil/uhtbin/hyperion-image/03Mar%5FMashishi.pdf.

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Thesis (M.A. in International Security and Civil-Military Relations)--Naval Postgraduate School, March 2003.
Thesis advisor(s): Letitia Lawson, Jeff Knopf. Includes bibliographical references. Also available online.
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11

Vyas-Lee, J. "Perinatal psychosocial interventions." Thesis, Canterbury Christ Church University, 2017. http://create.canterbury.ac.uk/17719/.

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Background: Joint working between adult and child services has historically been difficult; the Think Family Toolkit was produced by the government in order to aid collaborative working. Aim: The aim of this evaluation was to explore joint working between services using the Think Family Toolkit. Method: An adult team, child team and service users were given questionnaires to explore joint working. Results: Joint working was described as something that would be useful but there were many barriers to achieving it. The child team did not respond to the questionnaire perhaps due to time constraints and potential burnout. Conclusions: Recommendations are provided to increase the effectiveness of joint working between services.
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12

Ferguson, Nancy. "Effective literacy interventions." Thesis, University of Dundee, 2011. https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.761245.

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13

Lancaster, Linus. "Soils and interventions." Thesis, University of Plymouth, 2015. http://hdl.handle.net/10026.1/4761.

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The problem that I have identified during my research for this dissertation is the quantifiable depletion and exhaustion of large percentages of the world's soils through human activity in agriculture and other industrial practices. In the course of researching this problem I have looked closely at some of the primary causes, and a range of proposed and applied solutions in the field of ecology. The primary focus of the research has been in looking at how artists have responded to ecological issues and have engaged in environmental activism in their practices. Integral to the research has been direct participation in collaborative art practices that investigate and strive to raise public awareness about issues related to soil ecology. It has proceeded through reading established texts, interviewing expert practitioners, publishing my findings, and presenting at numerous conferences, concurrently with direct participation in ecologically oriented practices, related artistic projects, professional art exhibits, activist events, and working in the field of professional organic farming. During the research phase I attended nine Planetary Collegium Sessions with fellow researchers and received valuable direction from supervising professors. The result is a written, theoretical dissertation that documents the research through text and photography in seven chapters. It has also produced a body of sculptures and documented physical experiments and performances that are motivated by, and speak directly to issues of soil ecology. The efficacy of the artwork that has been made in the course of researching problems in soil ecology comes from its continuation of, and direct participation in, established, contemporary art projects and movements that have had a demonstrable influence of society. The contribution that it makes to new knowledge is by addressing in unique ways the emerging subject of soils, which have tended to be overlooked in many ecological discussions, and in so doing it also brings to bear a unique combination of influences in its practice. These include: Art practice, Situationist performances, Core Shamanic practice (as developed by Michael Harner), soil science, inspiration drawn from a number of continental theorists, participation in sustainable agriculture, and political activism, applied simultaneously in a transdisciplinary body of work described herein specifically on behalf of soils. In this endeavor the dissertation and its body of produced objects and performances has also sought to blur some of the conventional lines between theoretical research, contemplation and practice, as appropriate to a trans-disciplinary project. Numerous discoveries have been made in the course of the research, chief among them that the new transdisciplinary approach to soil studies that my collaborators and I have taken turns out to be of necessity if we are to avert large-scale collapses of agriculture due to soil degradation on a global scale in the course of this century.
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14

Wren, Y., S. Roulstone, and A. Lynn Williams. "Computer-Based Interventions." Digital Commons @ East Tennessee State University, 2010. https://www.amzn.com/1598570188/.

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Book Summary: With detailed discussion and invaluable video footage of 23 treatment interventions for speech sound disorders (SSDs) in children, this textbook and DVD set should be part of every speech-language pathologist's professional preparation. Focusing on children with functional or motor-based speech disorders from early childhood through the early elementary period, this textbook gives preservice SLPs critical analyses of a complete spectrum of evidence-based phonological and articulatory interventions. This textbook fully prepares SLPs for practice with a vivid inside look at intervention techniques in action through high-quality DVD clips large and varied collection of intervention approaches with widespread use across ages, severity levels, and populations proven interventions in three categories: direct speech production, broader contexts such as perceptual intervention, and speech movements clear explanations of the evidence behind the approaches so SLPs can evaluate them accurately contributions by well-known experts in SSDs from across the US, Canada, Australia, and the UK An essential core text for pre-service SLPs—and an important professional resource for practicing SLPs, early interventionists, and special educators—this book will help readers make the best intervention decisions for children with speech sound disorders. Evidence-based intervention approaches—demonstrated in DVD clips—such as: minimal pairs perceptual intervention core vocabulary stimulability treatment intervention for developmental dysarthria the psycholinguistic approach Interventions for Speech Sound Disorders in Children is a part of the Communication and Language Intervention Series
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15

Beecher, Emily Morgan. "A Systematic Review of Interventions for Implementation Fidelity for Academic Interventions." BYU ScholarsArchive, 2019. https://scholarsarchive.byu.edu/etd/8791.

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To address students’ academic and behavioral needs, schools are held accountable for implementing effective evidence–based interventions. An important relationship exists between implementation fidelity and the effectiveness of interventions. The purpose of this systematic review was to identify and evaluate the evidence of interventions to improve the implementation fidelity of academic interventions and to evaluate the quality of the existing research with a focus on the quality of the research on the most successful interventions. A total of 13 studies met the inclusion criteria. Each study was coded based on a quality of evidence coding protocol and the findings were then reviewed and synthesized. The results show that performance feedback was the most used and successful intervention for increasing implementation fidelity of an academic intervention. Professional development and teacher training were other interventions that were implemented to improve implementation fidelity. These results are summarized and implications for school-based practice are discussed. With such few studies that met the inclusion criteria, there is a need for more research in this area.
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16

Muramoto, Myra L., Eva Matthews, Cheryl K. Ritenbaugh, and Mark A. Nichter. "Intervention development for integration of conventional tobacco cessation interventions into routine CAM practice." BioMed Central Ltd, 2015. http://hdl.handle.net/10150/610279.

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BACKGROUND: Practitioners of complementary and alternative medicine (CAM) therapies are an important and growing presence in health care systems worldwide. A central question is whether evidence-based behavior change interventions routinely employed in conventional health care could also be integrated into CAM practice to address public health priorities. Essential for successful integration are intervention approaches deemed acceptable and consistent with practice patterns and treatment approaches of different types of CAM practitioners - that is, they have context validity. Intervention development to ensure context validity was integral to Project CAM Reach (CAMR), a project examining the public health potential of tobacco cessation training for chiropractors, acupuncturists and massage therapists (CAM practitioners). This paper describes formative research conducted to achieve this goal. METHODS: Intervention development, undertaken in three CAM disciplines (chiropractic, acupuncture, massage therapy), consisted of six iterative steps: 1) exploratory key informant interviews; 2) local CAM practitioner community survey; 3) existing tobacco cessation curriculum demonstration with CAM practitioners; 4) adapting/tailoring of existing curriculum; 5) external review of adaptations; 6) delivery of tailored curriculum to CAM practitioners with follow-up curriculum evaluation. RESULTS: CAM practitioners identified barriers and facilitators to addressing tobacco use with patients/clients and saw the relevance and acceptability of the intervention content. The intervention development process was attentive to their real world intervention concerns. Extensive intervention tailoring to the context of each CAM discipline was found unnecessary. Participants and advisors from all CAM disciplines embraced training content, deeming it to have broad relevance and application across the three CAM disciplines. All findings informed the final intervention. CONCLUSIONS: The participatory and iterative formative research process yielded an intervention with context validity in real-world CAM practices as it: 1) is patient/client-centered, emphasizing the practitioner's role in a healing relationship; 2) is responsive to the different contexts of CAM practitioners' work and patient/client relationships; 3) integrates relevant best practices from US Public Health Service Clinical Practice Guidelines on treating tobacco dependence; and 4) is suited to the range of healing philosophies, scopes of practice and practice patterns found in participating CAM practitioners. The full CAMR study to evaluate the impact of the CAMR intervention on CAM practitioners' clinical behavior is underway.
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17

Rolley, John Xavier. "Improving care for people undergoing percutaneous coronary interventions: elements of effective interventions." Thesis, Curtin University, 2009. http://hdl.handle.net/20.500.11937/810.

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Percutaneous coronary interventions (PCIs) are a frequent strategy for myocardial revascularisation in both the elective and emergency setting. In contrast to surgical techniques such as coronary artery bypass grafting (CABG), there is less procedural burden and a reduction in hospitalisation times. This rapid treatment means a reduced exposure of the individual to healthcare providers in the acute care setting limiting the time to prepare individuals and their families to cope and adjust to living with a chronic condition.In spite of the expansive research in respect of acute coronary syndromes (ACS), PCI and CABG, there is substantially less person centred research focussing on the needs of the individual undergoing PCI. Similarly, in spite of the number of evidence based practice guidelines for ACS and PCI, evidence supporting specific PCI nursing practice remains of a low level and minimally mentioned in practice guidelines. This thesis was undertaken to address these gaps in knowledge.The Chronic Care Model (CCM), promoting evidence based practice, communication and coordination of care for people with chronic conditions has informed the study design, implementation and interpretation of findings.Using the approach of the patient journey and the CCM, a sequential mixed method study was undertaken to describe the barriers and facilitators to improving the care outcomes of people undergoing PCI. Firstly, a study describing the clinical and demographic characteristics of individuals undergoing PCI and their perception of cardiovascular risk was completed. Secondly, a qualitative multi method study investigating patients’, carers’ and healthcare providers’ perceptions of the barriers, facilitators and opportunities for improving PCI care was conducted. Thirdly, an online survey of cardiovascular nurses’ beliefs, values, and practices. This survey was informed by a comprehensive literature review and issues identified through a consensus conference.Fourthly, clinical practice guidelines for PCI nursing care were developed to address limitations in providing coordinated and evidence based nursing care. A systematic method was adopted from the National Health and Medical Research Council’s recommended approach for developing guidelines. This project was conducted under the auspices of the Australasian Cardiovascular Nursing College and the Cardiovascular Nursing Council of the Cardiac Society of Australia and New Zealand; both peak cardiovascular nursing bodies in Australia and New Zealand.Finally, based upon study finding identifying challenges in communication and coordination across care settings, elements of effective interventions aimed at improving risk reduction and secondary prevention uptake have been identified.The series of studies presented in this thesis have contributed to ability of nurses to improve the health outcomes of individuals undergoing PCI across the care continuum. Information obtained from the series of studies in this thesis have provided useful information for further research in developing and implementing effective strategies to improve care for individuals undergoing PCI.
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18

Tardio, Marco Carlos. "Interventions into the city." Thesis, Georgia Institute of Technology, 1989. http://hdl.handle.net/1853/24172.

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19

Gore, D. M. "Early interventions in keratoconus." Thesis, University College London (University of London), 2015. http://discovery.ucl.ac.uk/1472290/.

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Keratoconus is a condition in which the corneal shape becomes steeper and more irregular between adolescence and the mid-thirties. It is a common cause of visual impairment with disease progression typically managed with rigid contact lens. Traditionally, no intervention has been available to arrest or slow disease progression. As a result, keratoconus is the commonest indication for corneal transplantation in young people. Over the last decade, outcome data has accumulated for new interventions for keratoconus that have radically altered the treatment options for these patients and promises to avoid the sight loss associated with this condition. These interventions include corneal collagen cross-linking (CXL), intracorneal ring implantation and photorefractive keratectomy (PRK). The laboratory and clinical work presented in this thesis explores these new interventions under two key headings: corneal shape stabilisation and visual rehabilitation. I have developed two novel ex vivo techniques which provide quantitative means of measuring riboflavin across the whole cornea in both epithelium-off and –on techniques. Using these methods I have concluded that no existing commercial transepithelial CXL protocol matches the riboflavin penetration achieved following epithelial debridement. I present novel iontophoretic protocols that, by increasing riboflavin concentration, soak duration and current dosage, matches epithelium-off absorption. I additionally report prospective outcomes of an accelerated version of CXL in keratoconus confirming it is a safe and effective iteration of the original ‘Dresden’ protocol. Finally, I present interim outcomes from a prospective study of simultaneous ocular wavefront-guided PRK and CXL showing significant improvements in corrected distance visual acuity beyond that expected with standard CXL.
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20

Sekhon, Mandeep. "Acceptability of healthcare interventions." Thesis, City, University of London, 2017. http://openaccess.city.ac.uk/19917/.

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Background: Problems with acceptability of healthcare interventions can undermine the validity of randomised evaluation studies. Hence, assessing acceptability is an important methodological issue. However, the research literature provides little guidance on how to define and assess acceptability. Acceptability of a healthcare intervention could be different, depending on the perspective taken: patients and healthcare professionals may have different views. Perceptions of acceptability may also change according to when acceptability is assessed, in relation to a person’s engagement with the intervention. A person can have perceptions about prospective acceptability (i.e. prior to taking part in the intervention); concurrent acceptability (i.e. whilst taking part in the intervention) and retrospective acceptability (after participating in the intervention). Objectives: The overall aim of this programme of research was to define acceptability in the context of healthcare interventions and to develop a Theoretical Framework of Acceptability (TFA) that can be applied to assess acceptability from two stakeholder perspectives: healthcare professionals and patients. The specific objectives were to: 1) Identify, from the published literature, how the acceptability of healthcare interventions has been defined, operationalised and theorised; 2) Theorise the concept of acceptability and develop a theoretical framework of acceptability (TFA) to guide assessment and develop preliminary assessment tools; 3) Use the tools to apply the TFA to assess intervention acceptability qualitatively, and 4) Apply pre-validation methods to develop preliminary versions of two TFA-based questionnaires. Methods: Six studies were conducted: 1. A systematic overview of reviews of published studies to investigate how the acceptability of healthcare interventions has been defined, theorised and assessed. The results of this study formed the basis for study 2. 2. Inductive and deductive methods of reasoning were applied to theorise acceptability and to develop the Theoretical Framework of Acceptability (TFA). 3. Semi-structured interviews with eligible participants who declined to participate in a Randomised Controlled Trial (RCT) comparing a new patient-led model of care with standard care, for managing blepharospasm and hemifacial spasm. The TFA was applied to identify whether participants’ reasons for refusal were associated with prospective acceptability of the intervention or with other factors. 4. Application of the TFA to analyse semi-structured interviews to assess healthcare professionals’ retrospective acceptability of two feedback interventions delivered in a research programme aimed at developing and evaluating audit and feedback interventions to increase evidence-based transfusion practice. 5. An extension of Study 3: semi-structured interviews with patients who agreed to participate in the RCT, at three-month follow-up, to assess patients’ concurrent acceptability of the standard model of care and the patient led model of care for managing blepharospasm and hemifacial spasm. 6. Pre-validation methods were applied to develop two TFA-based questionnaires applicable to the RCTs described in Studies 3, 4 and 5. Results: Study 1: acceptability had not been theorised and there was no standard definition used in the literature. Operational definitions of acceptability were often reported and often reflected measures of observed behaviour. Study 2: proposed definition: Acceptability is a multi-faceted construct that reflects the extent to which people delivering or receiving a healthcare intervention consider it to be appropriate, based on anticipated or experienced cognitive and emotional responses to the intervention. The TFA was proposed as a multi-component framework that can be applied to assess intervention acceptability across three temporal perspectives: prospective, concurrent and retrospective. The TFA consists of seven component constructs: Affective attitude, Burden, Ethicality, Intervention Coherence, Opportunity Costs, Perceived Effectiveness and Self-efficacy. Studies 3-5: It was feasible to apply the TFA in these empirical studies. Study 6: Two acceptability questionnaires were developed; the TFA informed the development of items reflecting the seven component constructs of the TFA. Conclusion: Despite frequent claims that the acceptability of healthcare interventions has been assessed, acceptability research could be more robust. Investigating acceptability as a multi-component construct resulted in richer information about the acceptability of each intervention, and suggestions for enhancing intervention acceptability across three temporal perspectives. The TFA offers the research community a systematic and theoretical approach to advance the science and practice of acceptability assessment for healthcare interventions.
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Lockey, D. J. "Pre-hospital trauma interventions." Thesis, University College London (University of London), 2013. http://discovery.ucl.ac.uk/1416433/.

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Considerable variation exists in the type and quality of interventions carried out on victims of major trauma in the pre-hospital phase of care. One model of care consists of high level interventions delivered by a doctor-led team. Examining two controversial areas of treatment (traumatic cardiac arrest and advanced airway management), this thesis set out to determine the quality and potential shortfalls of current practice and how they might be improved. A systematic review of traumatic cardiac arrest survival confirmed that outcome was historically very poor. A study of the largest series of traumatic cardiac arrest reported to date then suggested that a doctor –led system was associated with survival rates which were greater, and which were compatible with those after medical cardiac arrest. A significant proportion of survivors were victims of penetrating trauma who had been treated with on-scene thoracotomy. I thus examined the use, success rate and place of this intervention through analysis of the only reported case series. Finally, I considered how new or established interventions might be best applied in the early phase of trauma care to improve outcome, proposing a treatment algorithm to guide current management. Advanced airway management is presented as a controversial subject with uncertainty about who should deliver it and how it should be performed. The data presented demonstrates that, in a UK system ambulance service, interventions fail to deliver adequate airway care to trauma victims. In terms of doctor-delivered care, a meta-analysis is presented which demonstrates that doctors have better intubation success rates than paramedics, even when drug assistance and high levels of training are provided. The largest series of physician-delivered intubation then confirms this position. Lastly, a pre-hospital airway consensus process is described which attempts to improve the quality of data to guide future service development and research.
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Wilkinson, Amos Herr. "DIABETIC NURSE PRACTITIONER INTERVENTIONS." Thesis, The University of Arizona, 2002. http://hdl.handle.net/10150/610475.

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The purpose of this study was to conduct a metaanalysis of diabetic intervention data found in current nursing and medical literature using Neuman's Systems Model as a framework to create a theory based review of current Adult/Family Nurse Practitioner (A/FNP) diabetic interventions. Data analysis involved several steps. First was the determination of intervention recommendations for A/FNPs for diabetes mellitus (DM). Second was the comparison of the intervention recommendations for A/FNPs to the theory literature to determine if those interventions were supported theoretically. Third was the comparison of the interventions used by A/FNPs to the empirical literature to determine if those interventions were supported empirically. A total of ten intervention categories with 22 subcategories were formulated on the levels of primary, secondary, and tertiary prevention. Primary prevention categories included screening, education, and community collaboration, with education subcategories of diet modification and exercise. Secondary prevention categories included screening, assessment, education, health care intervention, counseling, and documentation. Screening subcategories included glycemic, hypertension, dyslipidemia, nephropathy, retinopathy, neuropathy, coronary artery disease, immunization, and alcohol and tobacco screening. Education subcategories included diet modification and exercise. Health care intervention subcategories included oral antidiabetic agents; insulins; combination therapies; and hypertension, dyslipidemia, nephropathy, retinopathy, neuropathy, and coronary artery disease treatment. Tertiary prevention categories included routine follow up and referral. All categories and subcategories were found to be supported both theoretically and empirically.
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23

Johnson, Joana. "Psychosocial interventions and museums." Thesis, Canterbury Christ Church University, 2015. http://create.canterbury.ac.uk/13809/.

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Previous research has shown that people with dementia and carers derive wellbeing-related benefits from group art-viewing, and that facilitated museum object handling is effective in increasing subjective wellbeing for people with a range of health conditions. The present study aimed to compare the impact of these activities on subjective wellbeing of people with dementia and carers. A quasi-experimental crossover design was used. People with early to middle stage dementia and their respective carers (N = 66) attended a museum session in small groups where they participated in three activities: museum object handling, a refreshment break and art-viewing. Visual analogue scales were used to rate subjective wellbeing pre and post object-handling and art-viewing. Mixed-design ANOVAs indicated wellbeing significantly increased for people with dementia and carers during the museum session irrespective of the order in which they participated in object-handling and art-viewing. Analysis of pre and post-condition scores across pooled orders indicated wellbeing significantly increased from object-handling and art-viewing for carers; wellbeing for people with dementia significantly increased from object-handling; the increase from art-viewing was not statistically significant. A refreshment break did not produce significant change in wellbeing for either group. An end-of-intervention questionnaire indicated that experiences of the session were positive. Limitations and directions for future research were discussed. Results provided a rationale for partnership working between museums and healthcare professionals.
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Williams, A. Lynn, Sharynne McLeod, and R. J. McCauley. "Direct Speech Production Interventions." Digital Commons @ East Tennessee State University, 2010. https://www.amzn.com/1598570188/.

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Book Summary: With detailed discussion and invaluable video footage of 23 treatment interventions for speech sound disorders (SSDs) in children, this textbook and DVD set should be part of every speech-language pathologist's professional preparation. Focusing on children with functional or motor-based speech disorders from early childhood through the early elementary period, this textbook gives preservice SLPs critical analyses of a complete spectrum of evidence-based phonological and articulatory interventions. This textbook fully prepares SLPs for practice with a vivid inside look at intervention techniques in action through high-quality DVD clips large and varied collection of intervention approaches with widespread use across ages, severity levels, and populations proven interventions in three categories: direct speech production, broader contexts such as perceptual intervention, and speech movements clear explanations of the evidence behind the approaches so SLPs can evaluate them accurately contributions by well-known experts in SSDs from across the US, Canada, Australia, and the UK An essential core text for pre-service SLPs—and an important professional resource for practicing SLPs, early interventionists, and special educators—this book will help readers make the best intervention decisions for children with speech sound disorders. Evidence-based intervention approaches—demonstrated in DVD clips—such as: minimal pairs perceptual intervention core vocabulary stimulability treatment intervention for developmental dysarthria the psycholinguistic approach Interventions for Speech Sound Disorders in Children is a part of the Communication and Language Intervention Series
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25

Fontanini-Axelrod, Angela M. "Linking assessment to intervention utilizing experimental analysis of reading problems to develop individualized interventions /." [Bloomington, Ind.] : Indiana University, 2005. http://wwwlib.umi.com/dissertations/fullcit/3200636.

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Thesis (Ph.D.)--Indiana University, Dept. of Counseling and Educational Psychology, 2005.
Source: Dissertation Abstracts International, Volume: 66-12, Section: A, page: 4296. Adviser: Thomas J. Huberty. Title from dissertation home page (viewed Oct. 11, 2006).
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Miller, Heidi Thomson. "Evaluating the effectiveness of first grade literacy interventions| Reading Recovery and Leveled Literacy Intervention." Thesis, Bethel University, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=3690941.

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This is a quantitative research project utilizing secondary data. Reading Recovery and Leveled Literacy Intervention are two early literacy interventions based on a whole language and phonetic approach to reading instruction. For the purposes of this study, the end-of-first-grade benchmark is a Developmental Reading Assessment (DRA) 18 and the end-of-second-grade benchmark is a DRA 30. This study utilizes descriptive analyses, ANOVA, and ANCOVA analyses of variance, and regression analyses to determine which programs bring tier 3, non-special education readers to grade level status at the conclusion of first grade. Reading Recovery successfully brings first-grade students to grade level status (p = .002), and 47.1% of students who participated in this intervention met the end-of-first-grade benchmark. Overall, their mean end-of-kindergarten DRA score was a text level 3, and their mean end-of-first-grade DRA score was a text level 16. For students who participated in Leveled Literacy Intervention (LLI), 35.3% met the end-of-first-grade benchmark. Overall, their mean end-of-kindergarten DRA score was a text level 3, and their mean end-of-first-grade DRA score was a text level 14. LLI was not found to be statistically significant (p = .607). For students who participated in both Reading Recovery and Leveled Literacy Intervention, 30.1% met the end-of-first-grade benchmark. Overall, their mean end-of-kindergarten DRA score was a text level 3, and their mean end-of-first-grade DRA score was a text level 14. The combination RR and LLI group was not found to be statistically significant (p = .877).

According to this study, for students who participate in either Reading Recovery or Leveled Literacy Intervention, a child’s gender (ANOVA p = .000, ANCOVA p = .000), and ethnicity (ANOVA Black p = .214, Other p = .067; ANCOVA Black p = .765, Other p = .556) is not a significant predictor of their end-of-first-grade DRA level. Depending upon the analysis conducted, a child’s free or reduced lunch rate (ANOVA p = .005, ANCOVA p = .283) is a significant predictor of their end-of-first grade DRA level F(2,1) = 5.416, p = .005 with an R2 value of .033 and an error of 612. As anticipated, a child’s initial kindergarten DRA level remains the most significant predictor of their end-of-first-grade DRA level (ANOVA p = .000, ANCOVA p = .000). The lowest scoring students in kindergarten tend to also be the lower scoring students at the end of first and second grades. The second greatest predictor for children who do not participate in Reading Recovery or Leveled Literacy Intervention is the child’s free or reduced lunch rate (p = .005). However, when an ANCOVA analysis of variance analyzed only students with a complete data set, kindergarten through second grade, a child’s lunch rate (p = .283) was shown not to be a significant predictor of end-of-first-grade DRA reading level. Additionally, a child’s lunch rate is not shown to be a significant predictor of a child’s text growth gain.

The study follows students who met the end-of-first-grade DRA 18 benchmark into second grade to ascertain if the students are able to maintain their grade level status. For students who participated in Reading Recovery and met the end-of-first-grade benchmark, 58.7% also met the end-of-second-grade benchmark. Their mean end-of-second-grade DRA score was a text level 30. For students who participated in Leveled Literacy Intervention and met the end-of-first-grade benchmark, 62.8% also met the end-of-second-grade benchmark. Their mean end-of-second-grade DRA score was a text level 30. For students who participated in both Reading Recovery and Leveled Literacy Intervention and met the end-of-first-grade benchmark, 53.8% also met the end-of-second-grade benchmark. Their mean end-of-second-grade DRA score was a text level 28.

Finally, the study utilized a regression analysis to determine if there is a difference in reading achievement growth based upon a student’s participation in Reading Recovery or Leveled Literacy Intervention. All analyses were controlled for initial DRA level, gender, ethnicity, and free or reduced lunch rate. The results found that while both programs appear to be moving students towards grade level status, Reading Recovery’s results are significant (p = .002), LLI’s results are not significant (p = .607), and the combination group of both RR and LLI are not significant (p = .877). According to this one year study, for students who participated in Reading Recovery or Leveled Literacy Intervention as first graders, once a child learns how to read, the variables—initial DRA level, gender, ethnicity and socio-economic status—do not affect a child’s continued reading achievement.

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Chodkiewicz, Alicia. "School-based positive psychology interventions : the development of a new evaluation process and intervention." Thesis, University of Exeter, 2018. http://hdl.handle.net/10871/32974.

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Since the rise of positive psychology as a unique discipline, a plethora of school-based interventions have emerged. There is a growing need to understand how these interventions can be effectively evaluated and implemented within schools. This thesis aims to develop an improved system of evaluation for positive psychology school-based interventions. This thesis develops and examines a mixed method sequential four-step evaluation process (efficacy evaluation, effectiveness evaluation, evaluation of the student voice, and a case study). To gain the data to inform these evaluations, a positive psychology school-based intervention was implemented across two school years. In 2015 a total of 144 students in Grades 5 and 6 were drawn from 8 classes in 3 schools. In the 5 classes allocated to the intervention condition the intervention was implemented by a researcher. In 2016 a total of 299 students in Grades 5 and 6 were drawn from 13 classes in 4 schools. In the 7 classes allocated to the intervention condition the intervention was implemented by the existing class primary school teachers. Data was collected from student self-report scales and questionnaires, academic tests, teacher interviews, a parent questionnaire and class observations. The efficacy evaluation in Chapter 2 provides information on both the intervention outcomes that were linked, and those that were not linked to the intervention, when implemented by a researcher under controlled conditions. The effectiveness evaluation in Chapter 3 provides insight into the intervention outcomes linked to the intervention when implemented by primary school teachers in true to life conditions. The evaluation of the student voice in Chapter 4 provides additional information to help in the evaluation and development of the intervention. Synthesis of the results of these three evaluations also provides useful insights into the impact of the interventions and the potential measurement limitations. The case study reported in Chapter 5 identifies school-, teacher- and student-level factors that shaped how effectively the intervention was implemented in schools. Taken together these studies demonstrate the value of using a comprehensive process to evaluate new positive psychology interventions.
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Gaffney, C. L. "Complex interventions for children and young people : exploring service delivery frameworks and characterising interventions." Thesis, University College London (University of London), 2012. http://discovery.ucl.ac.uk/1367068/.

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This thesis investigates the service delivery frameworks which support complex interventions for children and young people with conduct problems, and their families. Part 1, the literature review, evaluates existing measures and other literature in the field to inform the development of a fidelity measure for the service delivery frameworks supporting complex interventions. 35 papers are examined using an approach informed by narrative synthesis to bring together the emerging themes. The service delivery frameworks which underpin interventions are little evaluated in the literature, and the review concluded that there is scope for the development of a measure to examine the service delivery elements of interventions for children and young people with conduct problems, which might be best informed by drawing on existing measures and literature on effective delivery of complex interventions. Part 2, the empirical paper, describes the development and administration of the Children and Young People – Resource, Evaluation and Systems Schedule (CYPRESS) as part of the Systemic Therapy for At Risk Teens (START) randomised controlled trial (RCT) comparing multisystemic therapy (MST) with management as usual (MAU). CYPRESS was developed on the basis of a review of existing measures in the field, as well as research into the central aspects of service delivery which support complex interventions, as an interview-based measure of the service delivery frameworks supporting complex interventions. CYPRESS was piloted with two non-START trial teams, and subsequently administered to 16 teams (8 MST and 8 MAU) taking part in the START trial. The results of these interviews were used to compare the service delivery elements supporting MST and MAU, and to characterise the MAU services in the trial. The importance of further development and testing of CYPRESS is noted. Part 3, the critical appraisal, addresses methodological considerations arising from the research, discusses implications of the work, and reflects on the process of carrying out the research, and the context in which research of this nature occurs.
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Mitchell, Karen S. "Innovative Interventions for Disordered Eating: A Pilot Comparison Between Dissonance-Based and Yoga Interventions." VCU Scholars Compass, 2005. http://scholarscompass.vcu.edu/etd/1067.

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Disordered eating, including bingeing, dieting, purging, and clinical and subclinical forms of anorexia nervosa, bulimia nervosa, and binge eating disorder, is prevalent among college-aged women. To date, few interventions have successfully reduced risk factors related to disordered eating. One promising intervention utilizes principles of cognitive dissonance to reduce thin-ideal internalization among women at risk for eating disorders. Additionally, the benefits of yoga, including increased awareness of bodily processes, offer hope that this practice might reduce disordered eating symptomatology. The current study compared cognitive dissonance and yoga interventions for disordered eating attitudes and behaviors. Hierarchical regression analyses revealed that there were no significant differences between the yoga and control groups. However, participants in the dissonance group had significantly lower scores than both other groups on measures of disordered eating symptoms as well as thin-ideal internalization, body dissatisfaction, alexithymia, and anxiety. These findings have important implications for potential interventions on college campuses.
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Tahir, Sabri. "Humanitarian Interventions in Complex Societies : A comparative study of Kosovo, Libya and Somalia Interventions." Thesis, Uppsala universitet, Statsvetenskapliga institutionen, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-321419.

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This thesis examines and compares the humanitarian interventions in Kosovo, Libya and Somalia. The purpose of this study is to examine if the presence of strong tribal structures within a nation can increase the risk of terrorist activities, and subsequently contribute to a failed state following a humanitarian intervention. By applying a theory on tribes and critical terrorism studies, this thesis argues that policymakers might underestimate the significance of tribal structure within a state, before intervening. With Mills method of concomitant variation, this thesis has examined and compared the leadership, interventions, radical presence, and tribal structures of Kosovo, Libya and Somalia. This thesis has also examined if interventions can increase radicalism. The result from the analysis shows us that the presence of strong tribal structures can increase the terrorist activities and subsequently contribute to a failed state. Humanitarian intervention can further lengthen the weak state apparatus if the external actors neglect of the local structures of a state.
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Ng, Jun Jie. "The effectiveness of electronically delivered interventions (E-interventions) for alcohol use among young people." Thesis, Ng, Jun Jie (2020) The effectiveness of electronically delivered interventions (E-interventions) for alcohol use among young people. Masters by Coursework thesis, Murdoch University, 2020. https://researchrepository.murdoch.edu.au/id/eprint/60671/.

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The use of alcohol amongst young people presents a significant health and economic burden worldwide. There is a need for prevention and early intervention programs to target alcohol use in young people. This paper aimed to review studies of electronically delivered interventions (E-interventions) for alcohol use in adolescents and young adults, and considered the effect of intervention duration and age on outcomes. A search was conducted on the 8th July 2018 of electronic databases (MEDLINE; CENTRAL; CINAHL; PsychINFO; EMBASE; SCOPUS, and Web of Science). Results suggest that E-interventions are effective in lowering the total amount of alcohol consumed, and the frequency of risky alcohol consumption, but effects were inconclusive for drinking frequency. Subgroup analyses suggests E-interventions to effect a small but significant reduction in the Frequency of Risky Alcohol Consumption amongst participants under 18-year-old. All other subgroups (categorised by intervention duration and age) and treatment outcome combinations yielded insignificant findings. The magnitude and direction of certain summary effects, however, suggests merit in further research. Future studies need focus on sidelined populations and exploring mechanisms underlying the new wave of unguided E-interventions.
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van, Beurden Samantha Barbara. "Designing, delivering, and evaluating novel interventions to support dietary change for weight management." Thesis, University of Exeter, 2018. http://hdl.handle.net/10871/34519.

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Background: Recent empirical research and theoretical models acknowledge that impulsive processes, can often undermine peoples’ attempts to lose weight despite currently available and effective support (Chapter 2). Aim: To develop, deliver, and evaluate an impulse management intervention to support weight loss in adults. Methods: A systematic review was conducted to identify available impulse management techniques for influencing eating behaviour (Chapter 3). Intervention Mapping was used to develop the intervention (Chapter 4) which drew on various sources including the findings from the systematic review, stakeholder consultations, existing guidance, and qualitative interviews. A two-arm randomised controlled feasibility trial (Chapter 5), with nested mixed-methods process evaluation and two cycles of intervention delivery and data collection (Chapter 6), was conducted. This assessed the feasibility and acceptability of, and informed refinements to, both the intervention and trial procedures in preparation for a full-scale effectiveness evaluation. Weight was measured as the proposed primary outcome for a full-scale trial at baseline, one-month, and three-months of follow-up, app usage data were collected at both follow-up time points, and semi-structured interviews were conducted at one-month with a subsample of intervention group participants only. Results: The systematic review critically appraised and synthesised evidence on 17 identified techniques which were categorised as Impulse-focused or Reflective techniques. Promising changes in eating behaviour and craving were found for the techniques of visuospatial loading, physical activity, and implementation intentions. Intervention Mapping resulted in development of a novel smartphone app-based intervention (ImpulsePal) aimed to reduce unhealthy snacking, overeating, and alcoholic and sugary drink consumption using impulse management techniques identified in the systematic review. Eighty-eight adults with a Body Mass Index of ≥25kg/m2 and wishing to lose weight, were recruited and randomised in a 2:1 ratio to use ImpulsePal (n=58) or to a waiting list control (n=30) group. Data were available for 74 participants (84%) at one-month and 67 (76%) at three months. Exploratory analyses suggest that the ImpulsePal group (n=43) lost 1.03kg (95% CI 0.33 to 1.74) more than controls (n=26) at one-month, and 1.01kg (95% CI -0.45 to 2.47) more at three months. Participants reported high satisfaction with the intervention and trial procedures. The process evaluation suggests that ImpulsePal and the impulse management techniques are feasible to deliver and acceptable to users. Interviews with twenty-two participants suggest that they valued having access to in-the-moment support, felt more aware of their own eating behaviour and influences on it, and felt an increased ability to resist temptations. Conclusions: This work has developed a novel, theory- and evidence-informed, person-centred app which showed potential to improve impulse management, promote healthier eating, and support weight loss. ImpulsePal is acceptable to overweight and obese adults who want to lose weight and is now ready for evaluation in a full-scale trial. The thesis discusses theoretical, methodological, and practical implications for the future development, evaluation, and implementation of digital behaviour change interventions.
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Kissell, Tina Marie Eberly. "Interventions with good intentions| Effective implementation of Response to Intervention in two rural school districts." Thesis, The University of North Carolina at Greensboro, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3609579.

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This dissertation examined the implementation of Response to Intervention (RtI) in two rural school districts in south central North Carolina. Federal legislation requiring an increase in school system accountability included the expectation for implementing differentiating levels of academic intervention for struggling students. Implementation structure and pragmatics differ from district to district as the process design remains with local education units. The filtering of federal legislative expectations to state-level administration and subsequently to school system and ultimately school site leadership is a long journey that can result in varied interpretations. The communication of methodology and expectations from district-level administration to school-level practitioners is crucial for effective implementation. Therefore, an understanding of and a focused vision for Response to Intervention implementation is essential throughout district and school leadership (Kratochwill, Valopiansky, Clements, & Ball, 2007).

This dissertation explored the district-level to school-level facilitation of RtI implementation in two rural but very different districts in south central North Carolina, both identified to demonstrate stellar RtI implementation processes. Individual staff members were interviewed at the district and school-level (elementary, middle, and high) using a structured interview protocol to explore this process of implementation. The responses were then analyzed using a theme matrix. A consistent set of core strategies, practices, and beliefs were found in schools in the two districts, although facilitation of the expectations from district to school-level differed significantly and impacted the breadth and levels of implementation. Monitoring the fidelity of the process remained at the school level. The results reinforce the barriers that rural districts confront in complying with federal mandates.

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Decker, Kelsey. "Language and Play Everyday: Enhancing Early Intervention Provider Knowledge and Use of Naturalistic Communication Interventions." Thesis, University of Oregon, 2018. http://hdl.handle.net/1794/23745.

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The current study used a quasi-experimental comparison group pre/post-test design to examine the effectiveness of the Language and Play Everyday (LAPE) program for improving EI/ECSE practitioners’ knowledge, use of, and confidence in using Caregiver Implemented-Naturalistic Communication Interventions (CI-NCIs). Participants included 20 EI/ECSE practitioners across IDEA-related disciplines, eight with prior LAPE experience. 10 practitioners took part in a new, more intensive LAPE program, and 10 did not. Analysis of pre/post-questionnaires revealed that practitioners with prior LAPE experience reported significantly higher use of CI-NCI skills and mean self-efficacy ratings than those without LAPE experience. Practitioners who participated in the new, more intensive program used significantly more skills and scored significantly better on a knowledge test than those who did not participate, even when controlling for prior LAPE experience. These findings indicate that the LAPE program is a promising model to train EI/ECSE practitioners across disciplines in CI-NCIs.
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Rubio, Valera Maria. "Pharmacist interventions in depressed patients." Doctoral thesis, Universitat de Barcelona, 2012. http://hdl.handle.net/10803/95993.

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1) Objectives: - To systematically evaluate the effectiveness of pharmacist care compared with usual care (UC) on improving adherence to antidepressants in depressed outpatients. - To evaluate the effectiveness and cost‐effectiveness of a community pharmacist intervention (CPI) compared to UC in the improvement of adherence to antidepressants and patient wellbeing in a primary care population initiating treatment with antidepressants. 2) Methods: A systematic review and meta‐analysis of randomized controlled trials (RCTs) that evaluated the impact of pharmacist interventions on improving adherence to antidepressants was conducted. RCTs were identified through electronic databases and manual search. Methodological quality was assessed and methodological details and outcomes were extracted in duplicate. A RCT comparing patients with depressive disorder receiving a low intensity CPI (87) with patients receiving UC (92) was performed in Barcelona. The intervention consisted of an educational programme focused on improving knowledge about medication, improving patients’ compliance and reducing stigma. Measurements took place at baseline, 3 and 6 months. Adherence was continuously registered from the computerized pharmacy records. Secondary outcomes included clinical severity of depression (PHQ‐9), health‐related quality of life (HRQOL) (EuroQol‐5D) and satisfaction with the treatment received. Direct and indirect costs were assessed using the Client Service Receipt Inventory. Unit costs were derived from official local sources. Quality‐Adjusted Life‐Years (QALYs) were calculated using the EuroQol‐5D Spanish tariffs. 3) Results: Six RCTs were identified in the systematic review; most of them were conducted in the USA. A total of 887 depressed patients who were initiating or maintaining treatment with antidepressants and who received pharmacist care (459 patients) or UC (428 patients) were included in the review. The most commonly reported interventions were patient education and monitoring, monitoring and management of toxicity and side effects and compliance promotion. Overall, no statistical heterogeneity or publication bias was detected. The pooled odds ratio was 1.64 (95% CI 1.24‐2.17). Subgroup analysis showed no statistically significant differences in results. Results from the RCT showed that patients in the CPI group were more likely to remain adherent at 3 and 6‐month follow‐up but the difference was not statistically significant. No statistically significant differences were observed in clinical symptoms or satisfaction with the pharmacy service. However, patients in the CPI group showed greater statistically significant improvement in HRQOL compared to UC patients, both in the ITT and PP analyses. Overall costs were higher in the CPI group than in UC patients, mainly because of differences in productivity losses. There were no statistically significant differences between groups in QALYs. From the societal perspective, the incremental cost‐effectiveness ratio (ICER) for CPI compared with UC was €9,335 per extra adherent patient. The incremental cost‐utility ratio (ICUR) was €38,896 per QALY gained. If willingness to pay (WTP) is €50,000 per one extra adherent patient, per extra remission of symptoms or per QALY, the probability of the CPI being cost‐effective was 0.71, 0.52 and 0.56, respectively. From the healthcare perspective, the ICER was €862 per extra adherent patient. ICUR was €3,542. The probability of the intervention being cost‐effective was 0.75 if WTP is €12,000 for an extra adherent patient and €40,000 for QALY gained. The probability of the CPI being cost‐effective in remission of depressive symptoms was 0.55 for a WTP of €50,000. 4) Conclusions: A pharmacist intervention could be a good strategy to improve patients’ adherence to antidepressants in primary care but evidence supporting the pharmacist intervention in depressed patients is still limited, especially in community pharmacies and outside the USA. A low intensity CPI proved to be ineffective in improving patients’ adherence to antidepressants or clinical symptomatology. However, it was effective in improving the patient’s HRQOL. The CPI was not cost‐effective in comparison with UC in the improvement of adherence, depressive symptoms and QALYs.
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Saikus, Christina Elena. "Towards mri-guided cardiovascular interventions." Diss., Georgia Institute of Technology, 2011. http://hdl.handle.net/1853/44912.

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Imaging guidance may allow minimally invasive alternatives to open surgical exposure and help reduce procedure risk and morbidity. The inherent vascular and soft-tissue contrast of MRI make it an appealing imaging modality to guide cardiovascular interventional procedures. Advances in real-time MRI have made MRI-guided procedures a realistic possibility. The MR environment, however, introduces additional challenges to the development of compatible, conspicuous and safe devices. The overall goal of this work was to enable selected MRI-guided cardiovascular interventional procedures with clearly visible MR devices. In the first part of this work, we developed actively visualized devices for three distinct MRI-guided interventional procedures and techniques to assess their signal performance. We then investigated factors influencing complex device safety in the MR environment and evaluated a technique to better determine and monitor potential device heating. This input contributed to the development of a system to further improve device safety with continual device monitoring and dynamic scanner feedback control. In the final part of this work, we demonstrated the utility of MRI guidance and actively visualized devices to enable traditional and complex cardiovascular access. Together these provide important elements to bring MRI-guided cardiovascular interventional procedures closer to clinical implementation.
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Plaatjes, Carlton Henry. "Assessing conflict and management interventions." Thesis, Nelson Mandela Metropolitan University, 2011. http://hdl.handle.net/10948/d1018930.

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Human resource management, or people management, is concerned with the philosophies, policies, programmes, practices and decisions that affect the people who work for an organisation. The various people management functions are aimed at helping the organisation achieve its strategic goals and as such are an integral part of the management process. People management consists of several aspects and sub-divisions of which pro-active conflict handling and management is one and which is also the subject of this study. The objective of this study was to assess causes of conflict and interventions and styles of conflict management in the workplace. Workplace politics, change management, diversity, cultures and religious views are but a few major sources for the emergence of conflict. We are currently in the era of fast change or more aptly put “hyperchange” and conflict is inevitable and management styles can also create and/or escalate conflict situations including, the composition of diversity in the workplace. This adds to the new challenges of management. Organisations in this decade need to acknowledge that their management styles of days gone by are not relevant anymore and one must understand to recognise conflict and resolve it in an appropriate manner. This study assessed the major causes of conflict in the workplace and whether the managerial style of managers and management interventions impacts on the overall conflict situations experienced by staff members in organisations in Cape Town and Windhoek. It also gave an indication if interventions and conflict management training/programmes are in place or used, if at all. Sometimes conflict is resolved successfully or unsuccessfully and what impact it has on the managers, his/her staff and colleagues and the organisation as a whole. This can have a detriment impact on the business and the culture within the organisation and which could result in or give rise to high labour turnover, underlying unhappy staff and disempowerment of managers and staff and poor production and service levels.
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Rossiter, Penny, University of Western Sydney, of Arts Education and Social Sciences College, and School of Humanities. "Problematising the political : feminist interventions." THESIS_CAESS_HUM_Rossiter_P.xml, 2002. http://handle.uws.edu.au:8081/1959.7/579.

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This thesis is a study of selected themes in feminist rethinkings of the political. It explores connections between specific interpretations of the meanings and boundaries of the political, the problems of exclusion and the imagination of non-exclusionary alternatives. It traces, and responds to, shifts in these interconnected concerns that have transpired over the last three decades as feminists in western liberal democracies have moved from a preoccupation with gendered oppression, to relations of identity and difference more broadly conceived. The contrasting perspectives of Moira Gatens and Anne Phillips on political exclusion and their preferred political futures are discussed. Gatens' preferred future is a 'polymorphous, polyvocal and polyvalent body politic' but the institutional forms of that polity and its relation to actually existing liberal democracy are uncertain. Phillips apparently has more modest aspirations; for increased political presence for the politically marginalised (especially women); and for a revitalisation of the deliberative component of democracy. Although Phillips appears to hold the trump card of immediate practical relevance, the thesis questions this assumption. It argues that feminist analysis can only benefit from increased conversation between such divergent feminist responses to the problem of political exclusion. But further, it concludes that the least 'practical' may sometimes be the most important components of feminist rethinkings of the political
Doctor of Philosophy (PhD)
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Mullen, Nadia, and n/a. "Maintenance of interventions in organisations." University of Otago. Department of Psychology, 2007. http://adt.otago.ac.nz./public/adt-NZDU20071015.160435.

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Many successful interventions are not maintained after researchers leave an organisation at the conclusion of a study. This research was conducted to assess the magnitude of this problem and determine which variables affect intervention maintenance. Maintenance was examined in a review and analysis of 125 applicable studies published in the Journal of Organizational Behavior Management from 1977 - 1999. Where necessary, authors of studies were contacted to determine the maintenance status of their intervention. The analysis found the extent of this problem in published studies is substantial. Intervention maintenance was necessary to maintain the intervention�s effects in two thirds of studies with successful interventions. Of all studies where maintenance was necessary, approximately 40% failed to maintain the intervention. The maintenance procedures derived from the literature, researchers in the field, and journal analysis included planning for a wide range of positive outcomes, designing the intervention to be long-term, and communicating the benefits of the intervention to the organisation. For this thesis, three studies were conducted to examine the effectiveness of these maintenance procedures. The first two studies partially replicated studies where the interventions had been successful but not maintained, with the inclusion of maintenance procedures. Intervention maintenance occurred in a university cafeteria in Study 1, and in one of three supermarkets in Study 2. Study 3 improved on the design and procedure of Study 2, including a manipulation of the maintenance procedures. During intervention in the control supermarket, signs designed to increase customer donations to the supermarket foodbank bin were placed on shelves near discounted items. In the experimental supermarket, both maintenance procedures and signs were used. During 6 weeks of follow-up, the signs were maintained in both supermarkets. The researcher then ceased regular observations, returning only for 1 month, 2 month, and 1 year follow-ups. After researcher presence was withdrawn, maintenance of the signs continued only in the experimental supermarket. This study demonstrates that the maintenance procedures were effective, and necessary, for long-term maintenance to occur after the researcher left the organisation. It was concluded that the maintenance procedures were effective for encouraging intervention maintenance, and recommended that researchers incorporate the procedures into their studies when maintenance is desirable.
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Baydala, Angelina. "Lifestyle interventions, stress, and fitness." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp05/mq24645.pdf.

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Mongrain, Steeve. "Government interventions under asymmetric information." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape7/PQDD_0004/NQ38321.pdf.

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MacFarlane, Shaun David. "Interventions with underachieving mathematics students." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape3/PQDD_0013/MQ61459.pdf.

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Mahdavi, Seyedeh Sara. "Prostate segmentation for medical interventions." Thesis, University of British Columbia, 2012. http://hdl.handle.net/2429/43633.

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Prostate cancer is the most prevalent type of cancer among men. Accurate delineation and appropriate visualization of the prostatic region can greatly affect treatment of prostate cancer and has the potential to reduce some of the treatment side-effects. The main goal of this research is to develop a prostate segmentation tool which is suitable to replace manual delineation. Manual segmentation, the current standard in procedures such as low dose rate prostate brachytherapy, is tedious, time consuming and observer dependent. We propose a 3D semi-automatic segmentation tool to overcome these limitations. To show the clinical value of this method we perform extensive dosimetric evaluation on in-vivo ultrasound images. This tool is currently being clinically used as part of the prostate brachytherapy treatment procedure at the BC Cancer Agency. Ultrasound is the common modality for imaging the prostate. Although safe and simple to use, it can not always allow the prostate to be reliably delineated. Vibro-elastography is a relatively new imaging method which is used to characterize mechanical properties of tissue. We investigate the suitability of vibro-elastography for visualizing the prostate. We compare in-vivo B-mode ultrasound and vibro-elastograpy images with the gold standard MRI in terms of contrast, edge visibility and the shape and size of the gland as seen in these images. Based on our results we develop a 3D automatic prostate segmentation tool in which, in addition to B-mode, information from vibro-elastography images is used in an iterative model-based segmentation approach. We conclude this work by studying the visibility of cancer itself in vibro-elastography images. Areas suspected for cancer are manually marked on the images and the results are compared to the marked cancer in registered pathology slices. Our preliminary results show that vibro-elastography has the potential to be used for detecting prostate cancer; however, we suggest a combined use of various modalities or image types to improve cancer detection.
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Ekberg, Kerstin. "Workplace health : influences and interventions." Linköpings universitet, Arbetslivsinriktad rehabilitering, 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-21821.

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Adults spend about 40% of their waking hours at work. The workplace is an important setting both in affecting people’s health and as an environment in which to promote health. Health in working life is not a technical, value-free process, but rather one influenced by the ideologies, beliefs and values of key actors, such as officials, workers and unions, employers, corporations and managers, experts and others (Levenstein & Woodings, 1997). Indeed, one of the defining characteristics of the workplace setting is that it brings together a variety of groups and individuals who have different agendas and priorities with regard to work and health (Naidoo & Wills, 2000). Hence, the relationship between work and health may be viewed in different ways by different actors; a conflict of interest may arise between the actors with regard to what comes first, health or productivity. This text begins with a look at key concepts, theories and models to explain the relationship between health and work. This is followed by a discussion of important empirical findings and research concerning strategies to improve workplace health.
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45

Tolman, Cae Jonathan. "Systematic Clinical Interventions in Uraemia." Thesis, University of Leeds, 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.503347.

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Nguyen, Hien. "Designing effective digital behaviour interventions." Thesis, University of Aberdeen, 2011. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.542650.

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Digital behaviour interventions are information systems that deliver advice and support to help people change their attitudes and/or behaviours. This thesis investigated the design principles that can make digital behaviour interventions more effective. In particular, this thesis focused on the design of dialogue systems aimed to encourage healthy behaviours. First, we explored the collected empirical evidence of past successful digital interventions to identify the best practices in designing such interventions. Based on these principles, we proposed a novel framework for creating personalised digital behaviour interventions. The framework emphasizes the process of personalisation at three levels: (1) modelling a personalised, dynamic model of behaviour of each user, (2) employing a personalised set of behaviour change strategies, and (3) personalising the delivery of each strategy to each user. Next, we looked at the effectiveness of a number of tactics that can be used by a system to enhance the delivery of behaviour change strategies. First, we investigated the conflicting results reported on the effect of onscreen characters on the system’s credibility. An onscreen character can enhance the system’s credibility if its appearance portrays high credibility with respect to the topic discussed by the system. For each topic, people do have a preference for which they would like to learn from. Finally, we combined all our findings to implement MARY, a virtual health trainer that encourages regular walking. MARY delivers a personalised intervention by supporting personalised goal setting, providing personalised daily feedback and emotional support. A longitudinal acceptability and feasibility evaluation of MARY with twenty-five participants confirmed our separate findings in a realistic setting. 90% of the participants improved or maintained their attitude towards walking, 81% of the participants intended to walk more, and 67% of the participants increased their daily step count.
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Bloomfield, Leslie. "Lightweight Interventions for Reflective Documentation." Research Showcase @ CMU, 2015. http://repository.cmu.edu/theses/82.

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Reflection is an essential part of iterative creative work and documenting process is constructive to that practice. However, there are many misconceptions about what it means to document process and it is often considered in opposition to productivity. How can design help with documenting and making reflection explicit during process? What is the best approach for designing reflective features for the sake of reflection?
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Hillman, Alana S. "Early Interventions and Student Achievement." Thesis, Lindenwood University, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3619165.

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Educating children is a costly endeavor; however, when children with special needs enter kindergarten unprepared emotionally, socially, or academically, the increased costs and support systems have to be absorbed by the schools and communities. The purpose of this study was to determine if there was a significant difference between the academic achievement of students participating in Early Childhood Special Education (ECSE) compared to students without ECSE services with DIAL-3 scores ranked in the 20th percentile or below. Achievement scores for second and third graders in one urban school district were utilized to compare the scores of ECSE and non-ECSE students. The sample included the TerraNova and Performance Series assessment scaled scores of 30 ECSE students and 30 non-ECSE students for a total of 60 students from academic years 2008 to 2012 from the participating school district. A stratified sampling was utilized within the two groups of students' assessment scores. Standard calculations included means, standard deviations, and a t-test. When comparing the second grade achievement scores, ECSE students had statistically significant gains on the overall scaled scores than the non-ECSE students. When comparing the third grade Performance Series reading, language arts, and math scaled scores of the ECSE students to the non-ECSE students, the ECSE students had statistically higher achievement scaled scores compared to the non-ECSE students. When comparing the third grade Performance Series reading and language arts standard item pool scores of the ECSE students to the non-ECSE students, the ECSE students had statistically higher achievement standard item pool compared to the non-ECSE students. The Performance Series standard item pool scores were not statistically significant between the two groups.

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Schaffner, Angela D. "Preferences for interventions in counseling." Virtual Press, 2001. http://liblink.bsu.edu/uhtbin/catkey/1222832.

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This study involved a survey of 164 undergraduate students and sought to determine whether relationships exist between 1) religiosity and preferences for a counselor's use of religious interventions in counseling, and 2) gender and preferences for a counselor's use of religious intelentions in counseling. It was hypothesized that high religiosity in students would be related to a strong preferences for a counselor's use of religious interventions. It was also hypothesized that females would show stronger preferences for religious interventions in counseling. Results supported both hypotheses, indicating that a significant relationship exists between religiosity and preferences for religious interventions, and between gender and preferences for religious interventions. These results have important implications for counselors working with religious clients.
Department of Secondary, Higher, and Foundations of Education
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Thomas, Michael. "Existential interventions in eating disorders." Thesis, University of Nottingham, 2001. http://eprints.nottingham.ac.uk/11482/.

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This study provides the result of a doctorate research into the impact of existential psychotherapeutic interventions with people experiencing chronic eating disorders. The results indicate that positive outcomes are correlated to therapeutic interventions which concentrate on the clients own perception of control and choice over their own eating habits. The research aim was to explore both the effects and the effectiveness of existential therapy in altering the individuals subjective interpretation of their Self when they are deeply immersed in the experience of disordered eating. Interventions went beyond the cognitive-behavioural approaches into the implementation of existential psychotherapy which helped individuals to explore the existential concerns of life, choice, hope, social inclusion and love within the context of their own sense of Being. This focus led to an improvement in all study subjects and a reduction in the use of mental health resources. All individuals entered the study following assessment criteria which included chronicity, lengthy use of mental health services and past therapeutic interventions. Three diagnostic criteria were included, Anorexia Nervosa, Bulimia Nervosa and Morbid Obesity. Data presented in the study supported the original premise that all three eating disorders share underlying similarities and justify the inclusion of the diagnostic criteria of morbid obesity within the study. Therapy was either in closed groups or individual and consisted of a fixed number of one-hour sessions. Therapeutic techniques included cognitive-behavioural therapy and person-centred counselling focusing on self-esteem and self-assertion, as well as an existential focus on dualistic perception of the mind/body, the conscious sense of the present and the affective bond with food itself. A series of therapeutic phases were structured to demonstrate the progress from interventions in self-esteem and self-assertion to existential concerns and principles. Taking therapy beyond cognitive-behavioural techniques involved the application of Yaloms' (1980) and Strasser and Strassers' (1997) Existential Therapy and an exploration of Duker and Slades' (1988) concepts of the fragmentation of the sense of Self in individuals experiencing eating disorders. The research demonstrated important differences between the professional perception of appropriate eating and alteration in weight as successful clinical outcomes, and the clients’ dependency on disordered eating as a source of release from interacting with others. Mental health interventions were perceived by clients as attempts to stop such a release without providing a substitute. A clear sense of loss was presented by all study subjects when eating was controlled by others. In most cases disordered eating was habitual and the emotional effects of raised or lowered glucose levels gave a sense of numbness and nothingness which was actively pursued. This was also attained when disordered eating was combined with other self-harm behaviours. Mental health practitioners inadvertently prevented the attainment of a sense of numbness by their focus on eating and body weight. The encouragement of food regimes causes increased anxiety for all clients leading to poor compliance levels. The research results have the potential to impact on mental health education and clinical services as the data indicates that individuals with disordered eating gain more benefit when the therapeutic focus is less on restoring appropriate eating habits and more on the individuals sense of Self; the importance of food intake as a source of escape from others and escape from the internal awareness of Self.
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