Dissertations / Theses on the topic 'Self-management'
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1
McCorkle, Laura Steed. "A study of the relationships of self-efficacy of self-management of asthma and asthma self-management knowledge." Texas A&M University, 2005. http://hdl.handle.net/1969.1/2583.
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The purposes of this study are to examine the relationship of self-efficacy
regarding self-management of asthma and student self-management knowledge and also
examine the extent to which self-efficacy and self-management knowledge predicts
student outcomes such as reading grades, the number of times a student was absent and
the number of visits a student made to the school nurse. Students were sampled from
one public school district within a suburban city in the southwest portion of the United
States. The sample was comprised of 33 males and 12 females ranging in age from six
to eleven years of age.
Three data collection instruments were developed for this study. Parents of the
participants were asked to fill out a demographic survey to provide descriptive data.
Participants of the study were administered two face-to-face interview surveys: The
Asthma Student Self-Management Knowledge in a School Setting Survey (SMS) and the Asthma Self-Efficacy of Self-Management of Asthma Survey (AMES). Both surveys
were developed based on the six lesson topics of Open Airways.
Two separate data analyses were conducted based on the data collected from
each participant. To better understand the relationship between the AMES and the SMS,
a Pearson Product Moment Correlation Coefficient was used in the regression analysis.
The findings showed that there was a statistically significant positive relationship
between the SMS and the AMES. To determine if the AMES and the SMS could predict
reading grades, the number of times a student was absent and the number of visits a
student made to the school nurse, a multiple linear regression was used. The findings
showed that there is minimal evidence showing that only reading scores maybe predicted
by asthma self-efficacy and asthma self-management knowledge.
Taking into account identified limitations such as not taking into account the
severity of the participant??s asthma, one would be cautious to generalize these findings
to other children with asthma. Based on these results and limitations, recommendations
for future practice and for future research are provided.
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Schmitz, Christoph. "Self-organized collaborative knowledge management." Kassel : Kassel Univ. Press, 2007. http://www.uni-kassel.de/hrz/db4/extern/dbupress/publik/abstract.php?978-3-89958-325-0.
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Appleyard, Sara Elizabeth. "Self-management of cancer pain." Thesis, University of Hull, 2014. http://hydra.hull.ac.uk/resources/hull:11347.
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The portfolio has three parts: a systematic literature review, an empirical study and a set of appendices. Part one: Comprises a systematic literature review in which studies relating to the use of self-initiated pain coping strategies in adults with cancer are reviewed. Fifteen studies were included in the review, including qualitative, quantitative and mixed methods designs. The studies reviewed had to have explored pain coping strategies and have included patient characteristics such as demographic, psychological or clinical variables that would allow for the investigation of possible relationships between the two. Part two: Comprises an empirical paper which explores the experiences of older people who self-manage their cancer pain at home. Patients attended semi-structured interviews with the main researcher. These interviews were analysed using Interpretative Phenomenological Analysis (IPA). The data was analysed, emergent themes are presented and implications are discussed in regard to existing literature. Methodological limitations are discussed and potential areas for future research are identified. Part three: Comprises the appendices which support the work of the first two parts, and includes a reflective statement on the research process, an epistemological statement, and a worked example of IPA analysis.
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Williams, Lesa Faye. "Diabetes Self-Management Education Program." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/1235.
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Diabetes is a devastating disease in American. The disease can cause chronic health comorbidities, and untreated diabetes has negative consequences for individuals and on our nation's economy. Newly diagnosed diabetics often have a lack of knowledge about the disease process. The purpose of this project was to design and implement a diabetes educational program to enhance participants' knowledge about diabetes management and self-care using the Health Belief Model. Diabetes Self-Management Education (DSME) is critical in improving patient outcomes and the prevention of diabetes related complications. Participation in a standardized diabetic educational intervention will improve patient knowledge, as measured by a reliable and valid pretest and posttest questionnaire. The objective was to develop a DSME curriculum that will be recognized and approved by the American Diabetes Association. A one group pretest /posttest method was employed with ten participants. A sample of ten participants between the age of 22 years old through 65 years old included eight women and two men all identified as African American. Upon completion of the 5-week DSME program, participants were noted to have started participating in weekly exercise or increased the number of days of exercise from 2 days to 3 days per week. Participants also noted a decrease in their systolic and diastolic blood pressure reading. Participants noted on average a 2-3 pound weight loss. Significant improvements were shown on both the knowledge scale and confidence scale of the modified Diabetes Project Participation Questionnaire. Results from this project indicated that participants applied knowledge from the DSME program to improve their own health status.
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Biati, Raquel Marie. "Chronic Disease Self-Management Program." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2598.
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The World Health Organization noted that 2 global health problems have reached epidemic proportions: obesity and type 2 diabetes. These conditions affect nearly 170 million people worldwide. The clinical practice problem addressed by this project was the prevalence of adults ages 50 and older in an ambulatory care setting who suffer from obesity and diabetes and may benefit from a tailored weight management and nutrition education intervention. The purpose of this project was to design a program that would decrease body mass index and hemoglobin A1c in older patients through adaption of the Chronic Disease Self-Management Program. The evidence supporting this project was obtained through a systematic literature review. The self-efficacy theory guided the project, and the evidence-based practice model used to plan the translation of the evidence into practice was the plan-do-check/study-act cycle, a continuous process improvement model used in many health care settings. The product of the project was an education intervention implementation plan that will be agreed upon by the project team and tracked using a Gantt chart. The program's effectiveness will be evaluated by analyzing the themes of qualitative feedback from patients who complete the program and through comparisons using t test statistics of body mass index and A1c that will be collected at 12 weeks and 12 months after the program start. The social change expected of this program, when implemented, is an increase in patients' engagement in and self-management of their care and a more trusting relationship among patients and the health care team. The recommendations from this project also may be useful in addressing health disparities often experienced by patients suffering from obesity and diabetes.
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Wilson, Josephine. "Self-management and self-efficacy across the multiple sclerosis journey." Thesis, Northumbria University, 2010. http://nrl.northumbria.ac.uk/2025/.
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Multiple Sclerosis (MS), the most common progressive neurological disease in young adults can take a relapsing remitting (RR) course especially in the early stages. There is a gap in knowledge in the application of self-management and self-efficacy with progressive long-term conditions. This research explored the experience of individuals with RRMS with particular focus on their attitudes to self-management and development of self-efficacy. The research addresses the question about engagement with self-management and self-efficacy influencing the journey of people with RRMS and their formal and informal carers. The research draws on the experiences, perspectives and understanding of the social processes and reality through interaction. Using grounded theory for generation of the themes captured from people with RRMS, their partners/carers and professionals involved in their care. The research design around a conceptual framework, used longitudinal studies capturing the experiences of people with RRMS and their partners/carers, through individual interviews and self-efficacy qualitative questionnaires over eight monthly meetings. The research sample of people with RRMS was three male and three female with an average age of 44.5 years, a mean duration with RRMS for 9.6 years. Professionals shared their perceptions and experiences through a focus group and individual interviews. Personal and reflective diaries kept by the researcher of events throughout the study enabled decision and audit trials to contribute to the rigour of the research. The data analysis has generated a number of themes that have been developed and presented throughout the thesis. The research process has generated new theory around the knowledge of and experiences of the three groups of research participants. Fluctuations of living with RRMS across roller coaster journeys, with transitional processes of daily changes and meanings brought threats and challenges. These highlight the importance of self-efficacy and self-control, of coping with uncertainty and unpredictability, through engaging with self-management behaviours. These enhanced perceptions of self- determination, positiveness, independence, quality of life and well-being. The transformation of uncertainty secured hope, opportunities and embracing RRMS through coping mechanisms and self-confidence. Formal and informal support was required where the People with RRMS deemed appropriate. The epistemological perspective has explored power as a multilayered and dynamic concept with different knowledge bases and issues that need addressing prior to successful partnership working. The research is original in terms of the groupings, the areas reviewed for this RRMS group and the potential for ongoing work, policy and practice changes both locally and nationally. Implications for practice, policy and further research were derived from the conclusions. In practice more empowerment, advice and information are required for people with RRMS to live independently. Policies for skills and knowledge training in these areas are required for shared decision-making and partnership working. Further research is required into utilisation of Integrated Care Management of ways of supporting independence, self-control and personalised plans for people with long- term conditions and their informal carers.
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Alhaddad, Masalek. "Career self-management in ascription culture." Thesis, Brunel University, 2014. http://bura.brunel.ac.uk/handle/2438/8746.
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The main aim of this thesis is to investigate whether theories of career self-management, developed in the USA and Western countries, apply in cultures which are different, such as ascription cultures, giving an example of the Kingdom of Bahrain. Career self-management, here, is conceptualized based on independence and having control in organising career management through setting a strategy and collecting information about career opportunities to achieve personal goals. Although there is increasing emphasis on the ‘new’ career, very few studies offer systematic information about whether careers are perceived in the new or traditional form and which is more appropriate for people in developing countries (for example, the Kingdom of Bahrain). On the other hand, scholars argue that although there is a need for career self-management the notion, yet, lacks critical evaluation where the promoting or limiting factors to its enactment lack research, particularly in developing countries (for example, the Kingdom of Bahrain). The country chosen for study is the Kingdom of Bahrain because its culture is characterised as 'ascription' and no career self-management research has been conducted in this context. The study adopts a qualitative approach to uncover the research questions. The semi-structured interviews are designed to collect and analyse data for two organisations (i.e. EWA and GARMCO) where each organisation’s findings are compared with the other. To cover a fair population and sampling in a country small in size and population, two organisations in two sectors have been selected that are the main sectors in the Kingdom of Bahrain which consist of large workforce populations. Each organisation encompasses 19 managers from different departments and one Human Resources manager (total of 20 managers in each case). The forty managers from the two sectors are randomly selected, taking into consideration the managers’ occupations and functions.
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Hickman, Jeffrey Scott. "Self-Management for Safety: Impact of Self-Monitoring versus Objective Feedback." Diss., Virginia Tech, 2005. http://hdl.handle.net/10919/26387.
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Altering driverâ s goals and motives for at-risk driving is likely to reduce the frequency of at-risk driving behaviors and their associated crashes and injuries. However, most driving occurs when people are alone with little supervisions or accountability. Thus, a self-management for safety (SMS) intervention may be the most appropriate technique to decrease at-risk driving behaviors. The current research evaluated an SMS process with college students on a simulated driving task. Participants included 93 university students (41 males, 52 females) randomly assigned to one of three groups (31 participants per group). Participants in the Control group did not receive any of the intervention materials; they were instructed to drive as they normally drive on each trial. Participants in the Self-Monitoring + Objective Feedback group received objective feedback from the experimenter about their actual performance on the target driving behavior as well as personal feedback from their self-monitoring forms. These participants recorded their individual improvement goals on the targeted driving behavior. Participants in the Self-Monitoring group recorded their individual improvement goals on the targeted driving behavior, but received only personal feedback from their self-monitoring forms. Similar to past self-management interventions directed at increasing safety-related driving behavior (Hickman & Geller, in press; Krause, 1997; Olson & Austin, 2001), SMS led to clear improvement in subsequent safety performance. Based on the recorded driving behaviors of 93 participants, SMS was effective in increasing the mean percentage of total driving time traveling below the posted speed limit compared to a Control group that did not receive any of the SMS components. Across the four trials, participants in the SM and SM + OFB group significantly increased the percentage of total driving time traveling below the posted speed limit by 13.4 (18.3%) and 14.5 (19.8%) percentage points, respectively, compared to participants in the Control group.Ph. D.
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DeJesus, Yesenia. "Self-Efficacy and Self-Management Assessments on Hispanic Patients with Diabetes." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2967.
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Hispanics are at increased risk for diabetes and are 40% more likely to die from the condition than are non-Hispanic Caucasians. The purpose of this project was to determine the effects of diabetes education conducted in Spanish by bilingual staff on the self-management and self-efficacy of a sample of 50 volunteer adult Hispanic clinic patients with diabetes. The education intervention incorporated the American Diabetes Association's Diabetes Self-Management Education program materials. Bandura's self-efficacy theory was selected as the theoretical support for the project that relied on self-management education of the patients to improve their self-efficacy to undertake the interventions necessary to manage their disease. The Diabetes Self-Management Questionnaire measured patient understanding and self-care management of diabetes before and after the education intervention, and the Diabetes Self-Efficacy Scale measured the self-efficacy of the patients before and after the intervention. Paired sample t tests were calculated to compare the pretest to posttest scores on the full questionnaire and subscales. The full scale and the glucose monitoring control and physical activity subscales showed statistically significant improvement pretest to posttest. An increase in the pretest to posttest Diabetes Self-Efficacy Scale scores was not significant. Results indicated that the diabetes education was an effective way to improve self-reported daily blood glucose monitoring and physical activity. The project may result in positive social change from the better self-management of some diabetes control skills among Hispanic adult patients when education is delivered in Spanish.
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Al-Shishtawy, Ahmad. "Enabling and Achieving Self-Management for Large Scale Distributed Systems : Platform and Design Methodology for Self-Management." Licentiate thesis, KTH, Software and Computer Systems, SCS, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-12377.
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Autonomic computing is a paradigm that aims at reducing administrative overhead by using autonomic managers to make applications self-managing. To better deal with large-scale dynamic environments; and to improve scalability, robustness, and performance; we advocate for distribution of management functions among several cooperative autonomic managers that coordinate their activities in order to achieve management objectives. Programming autonomic management in turn requires programming environment support and higher level abstractions to become feasible.
In this thesis we present an introductory part and a number of papers that summaries our work in the area of autonomic computing. We focus on enabling and achieving self-management for large scale and/or dynamic distributed applications. We start by presenting our platform, called Niche, for programming self-managing component-based distributed applications. Niche supports a network-transparent view of system architecture simplifying designing application self-* code. Niche provides a concise and expressive API for self-* code. The implementation of the framework relies on scalability and robustness of structured overlay networks. We have also developed a distributed file storage service, called YASS, to illustrate and evaluate Niche.
After introducing Niche we proceed by presenting a methodology and design space for designing the management part of a distributed self-managing application in a distributed manner. We define design steps, that includes partitioning of management functions and orchestration of multiple autonomic managers. We illustrate the proposed design methodology by applying it to the design and development of an improved version of our distributed storage service YASS as a case study.
We continue by presenting a generic policy-based management framework which has been integrated into Niche. Policies are sets of rules that govern the system behaviors and reflect the business goals or system management objectives. The policy based management is introduced to simplify the management and reduce the overhead, by setting up policies to govern system behaviors. A prototype of the framework is presented and two generic policy languages (policy engines and corresponding APIs), namely SPL and XACML, are evaluated using our self-managing file storage application YASS as a case study.
Finally, we present a generic approach to achieve robust services that is based on finite state machine replication with dynamic reconfiguration of replica sets. We contribute a decentralized algorithm that maintains the set of resource hosting service replicas in the presence of churn. We use this approach to implement robust management elements as robust services that can operate despite of churn.
QC 20100520
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Groenewald, Greta. "Self-management : an intervention to facilitate optimum growth during management development." Thesis, Stellenbosch : Stellenbosch University, 2003. http://hdl.handle.net/10019.1/53585.
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Thesis (MBA)--Stellenbosch University, 2003.ENGLISH ABSTRACT: The changing environment has had an influence on managerial skills and competencies. The question is what will be expected from the millennium manager? Thus what competencies would be needed to cope in the now faster changing era and how must training interventions be adapted to ensure optimum development opportunities? Although management is found at all levels and in all functions of an organisation, each level and each role requires different personal skills for the performance of the management task. However conceptual skills which involves the manager's thinking and planning abilities and interpersonal skills which refer to the ability to work with people, are mutually inclusive to all managerial positions. From literature it is clear that there are many methodologies available for management development such as corporate universities, outsourcing to local accredited colleges and universities for specialised programs such as a formal MBA, mentoring programs, leadership development programs, self-directed learning and career development. Critical evaluation of these interventions however indicate that conceptual skills are addressed but that the social and emotional dimensions are lacking. The focus of development interventions must shift to a more holistic, integrated approach of employee well-being. Another question to be asked is do educators take cognisance of the fact that personality and or psychological types are learning in different ways under different circumstances. In literature there seems to be very little evidence that programs are adapted to cater for these differences. From the literature sufficient information regarding learning theories, andragogy, learning styles and management development models is available. The challenge however is to incorporate and integrate the available information effectively to address the needs of a psychological, culturally diverse population. The trend in management development is moving towards incorporation of emotional intelligence as one of the components of development programmes. The emotional competence framework focus on personal competence which determines how we manage ourselves, and on social competence which determines how we handle relationships. In order to be able to effectively manage ourselves we have to focus on self-awareness, self-regulation and motivation. Therefore the need exists for a selfmanagement intervention in management development programmes. Very little information is available in existing literature on self-management programmes. The outcome of this literature survey is a suggested framework for a self-management module. The framework suggests three phases namely phase 1: Self-discovery which entails the gathering of information regarding personality and learning styles, brain dominance and the emotional intelligence (EO) map. Phase 2: Self-transforming which starts with the analysis of the self-discovery interventions, followed up by a guided process of self-transforming which entails personal goal setting and action plans. Phase 3: Self-mastery which is an active working towards the goals in all spheres of one's life, and celebrating "victories" to reinforce newly acquired skills or competencies. A follow-up on this study would be to develop a detailed module, integrating all the principles, theories and models to ensure a management development intervention that succeeds in providing "self-managing managers"!
AFRIKAANSE OPSOMMING: Die veranderende omgewing en tye het 'n invloed gehad op bestuursvernuf en bekwaamheid. Die vraag is dus: Wat sal verwag word van die "Millennium Bestuurder"? Dit wil sê, watter bekwaamhede sal nodig wees om aan te pas by dié vinniger veranderende era en hoe moet beroepsopleiding aangepas word vir optimum ontwikkelingsgeleenthede. Alhoewel bestuur gevind word op alle vlakke en in alle funksies van 'n organisasie, vereis elke vlak en elke rol verskillende persoonlike kundighede vir die uitvoer van die bestuurstaak. Konsepsuele kundigheid, wat na die bestuurder se denkvermoë, beplanningsvernuf en interpersoonlike vaardighede verwys, is wedersyds ingeslote by alle bestuursvlakke. Vanuit die literatuur is dit duidelik dat daar baie metodes van studie beskikbaar is vir bestuursontwikkeling soos korporatiewe universiteite, plaaslike ge-akkrediteerde kolleges en universiteite vir gespesialiseerde programme soos 'n formele MBA, mentorskapprogramme, leierskapontwikkelingsprogramme, self-gedrewe leeraktiwiteite en beroepsontwikkeling. Kritiese evaluasie van die intervensies wys daarop dat konsepsuele kundighede wel geadresseer word, maar dat die sosiale en emosionele dimensies ontbreek. Die fokus van ontwikkelingsintervensies moet skuif na 'n meer holistiese geïntegreede benadering in terme van werknemersgesondheid. Ons kan die vraag afvra of opvoeders wel kennis neem van die feit dat persoonlikheids- en sielkundige tipes verskillend leer onder verskillende omstandighede. In die literatuur blyk daar min bewyse te wees van programme wat aangepas is om vir dié verskille voorsiening te maak. In die literatuur is daar wel genoegsame inligting oor leerteorieë, andragogie, leerstyle en bestuursontwikkelingsmodelle. Die uitdaging is dus om die beskikbare inligting te inkorporeer, integreer en die behoeftes van 'n sielkundig, kulturele diverse populasie effektief te adresseer. Die neiging in bestuursontwikkeling is die inkorporering van emosionele intelligensie as een van die komponente van ontwikkelingsprogramme. Die emosionelevaardigheidsraamwerk fokus op persoonlike vaardigheid, wat bepaal hoe individue hulself bestuur, en op sosiale vaardigheid, wat bepaal hoe individue verhoudings hanteer. Dus die behoefte bestaan vir 'n self-bestuurs intervensie in bestuursontwikkelingsprogramme. Baie min informasie in Suid-Afrikaanse navorsing is beskikbaar in bestaande literatuur op self-bestuursprogramme. Die uitkoms van dié literatuurstudie is 'n voorgestelde raamwerk vir 'n self-bestuurs module. Die raamwerk stel drie fases voor naamlik, Fase 1: Self-ontdekking wat insluit die invordering van informasie aangaande persoonlikheids-en-Ieerstyle, brein dominansie en die emosionele intelligensie kartering. Fase 2: Self-transformasie wat begin by die analise van die self-ontdekkings intervensies, gevolg deur 'n gereguleerde proses van selftransformasie wat omvat persoonlike doelstellings en aksie planne. Fase 3: Selfbemeestering wat 'n aktiewe strewe is na die bereiking van doelstellings in alle sfere van 'n individu se lewe en die viering van "oorwinnings" om nuutgevonde vaardigede en kundighede te versterk. 'n Opvolg op dié studie sou wees om 'n gedetailleerde module saam te stel wat al die beginsels, teorieë en modelle integreer om sodoende 'n bestuursontwikkelings intervensie te verseker met "self-besturende bestuurders" as uitkoms!
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Rose, Vanessa Karen Public Health & Community Medicine Faculty of Medicine UNSW. "Sociostructural determinants of diabetes self-management: test of a self-efficacy model." Awarded by:University of New South Wales. School of Public Health and Community Medicine, 2007. http://handle.unsw.edu.au/1959.4/31881.
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Diabetes self-management has clear benefits in reducing diabetes symptoms and complications and improving the health, wellbeing and quality of life of people with diabetes. Successful intervention programs focus on the development of diabetes self-efficacy, which promotes the capacity of people with diabetes to perform diabetes self-management even in the face of difficulty. Diabetes self-management, however, presents considerable challenges for health systems that have been structured to provide acute, rather than chronic care, and health professionals who have been trained to cure illness, rather than manage behaviour. It presents further challenges for people with diabetes who live in socioeconomically disadvantaged circumstances and have limited financial resources for diabetes care and therapies, and poor access to resources for diabetes self-management, such as clean, safe exercise areas and healthy foods at low-cost. These sociostructural determinants of diabetes self-management, defined here as GP care and socioeconomic resources, have the potential to impede the uptake and effective dissemination of diabetes self-management policy and intervention. This research thesis investigated the impact of sociostructural determinants on diabetes self-management using a model developed from self-efficacy theory. The model was empirically examined using a mixed quantitative and qualitative methodology, where qualitative data were used to illuminate the findings of quantitative data. The quantitative component comprised a random cross-sectional survey of 105 people with diabetes subjected to hierarchical multiple regression with tests for moderator effects. The qualitative component comprised three group interviews of 27 English-speaking, Vietnamese-speaking and Arabic-speaking people with diabetes, analysed using the phenomenological method. Findings provided partial support for the model. Relationships between sociostructural determinants and diabetes self-management were complex. While good quality GP care facilitated diabetes self-management, it also acted as a barrier to self-monitoring of blood glucose for people with low levels of diabetes self-efficacy. Having limited access to socioeconomic resources did not impede diabetes self-management, even for people with low levels of diabetes self-efficacy, although this may have been masked by access to public health schemes and welfare support. The findings from this small-scale exploratory study suggest that self-efficacy may exert an impact on diabetes self-management, even in the face of sociostructural determinants.
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Becker, Manfred R. "Self-esteem : models and implications for management /." Thesis, Monterey, Calif. : Springfield, Va. : Naval Postgraduate School ; Available from National Technical Information Service, 1993. http://handle.dtic.mil/100.2/ADA276044.
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Keith, Nina. "Self-regulatory processes in error management training." [S.l. : s.n.], 2005. http://deposit.ddb.de/cgi-bin/dokserv?idn=97537284X.
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Dunn, Lindsay, and n/a. "Management training and change in self-perception." University of Canberra. Education, 1990. http://erl.canberra.edu.au./public/adt-AUC20060706.162407.
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This quasi-experimental study was to make a comparison between the
level of self-perception prior to and following a training process.
The study attested the view that the action learning based program in
question was an effective mechanism for change in self-perception.
The population studied were officers of the Australian Public Service
and the Commonwealth Teaching Service located in the Australian Taxation Office, Austrade, ACT Schools Authority and the Department
of Community Services and Health. A pilot study conducted in the
Public Service Board in 1987 suggested that an action learning
training process may be impacting on management competencies.
Respondent's attitudes to nine personality variables were measured
using the Saville Holdsworth Occupational (OPQ) Concept 5
Questionnaire. The variables were Assertive, Gregarious, Empathy,
Field of Use, Abstract, Structure, Anxieties, Controls and Energies.
Using the Solomon's Four quasi-experimental design, containing three
experimental and two control groups, pre-test, change and post-test
scores were compared using a one-way Analysis of Variance. Where
pre-tests were statistically significantly different an Analysis of
Covariance was used,
The general conclusion from the study was that the experimental
groups showed an overall insignificant relationship with training
particularly as control groups showed similar differences over time.
Apart from few exceptions the results did not support any strong
notion of positive change in self-perception as a result of a training
intervention.
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Britt, Eileen Frances. "Enhancing Diabetes Self-Management: Motivational Enhancement Therapy." Thesis, University of Canterbury. Psychology, 2008. http://hdl.handle.net/10092/1479.
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The effectiveness of Motivational Enhancement Therapy (MET), a brief four session form of Motivational Interviewing (MI), provided by diabetes health practitioners at a hospital-based clinic, in improving diabetes outcome and self-management of Type 1 and Type 2 diabetes was evaluated using quasi-experimental designs (i.e., non-random control group and multiple baseline designs). Study 1 evaluated if MET provided by Diabetes Nurse Educators (DNEs) was effective in improving diabetes outcome (i.e., blood glucose and lipids) and diabetes self-management, and compared its effectiveness to the current standard treatment which comprised Patient Education (PE). Study 2 evaluated if the results of Study 1 could be generalised to Dietitians providing the intervention. Study 3 evaluated the effects of MI training and post-training supervised practice on practitioner and patient behaviour. Specific hypotheses (Studies 1-2) were that MI would lead to improved diabetes outcome through improved diabetes self-management, and would be more effective than PE. Further, training in MI plus supervised practice was predicted to lead to Nurse Educators behaving in ways consistent with MI and as a result the participants would exhibit less resistance and increased change talk than participants receiving PE (Study 3). The results suggest that MET was well received by the participants, and contributed to improved diabetes outcome (e.g., lowered blood glucose) and diabetes self-management (e.g., self-monitoring of blood glucose and dietary compliance), and may have been more effective than PE, although high variability made conclusions uncertain. Evidence of generalisation across participants, intervention staff, and outcomes is provided. Additionally, evidence is provided that with two days training plus supervised practice the DNE were able to practice MET to at least a beginning level of competency in MI and that as a result the participants behaved in ways consistent with MI theory (i.e., showed less resistance and increased change talk).
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Elzen, Henrike Anje. "Self-management for chronically ill older people." [S.l. : [Groningen : s.n.] ; University Library Groningen] [Host], 2006. http://irs.ub.rug.nl/ppn/297661620.
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Miles, Angela J. "Correlates of asthma self-management in childhood /." Title page, contents and abstract only, 1994. http://web4.library.adelaide.edu.au/theses/09SPS/09spsm643.pdf.
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Schmitz, Christoph [Verfasser]. "Self-organized collaborative knowledge management / Christoph Schmitz." Kassel : Kassel Univ. Press, 2007. http://d-nb.info/993479081/34.
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Al-Shishtawy, Ahmad. "Self-Management for Large-Scale Distributed Systems." Doctoral thesis, KTH, Programvaruteknik och Datorsystem, SCS, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-101661.
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Autonomic computing aims at making computing systems self-managing by using autonomic managers in order to reduce obstacles caused by management complexity. This thesis presents results of research on self-management for large-scale distributed systems. This research was motivated by the increasing complexity of computing systems and their management. In the first part, we present our platform, called Niche, for programming self-managing component-based distributed applications. In our work on Niche, we have faced and addressed the following four challenges in achieving self-management in a dynamic environment characterized by volatile resources and high churn: resource discovery, robust and efficient sensing and actuation, management bottleneck, and scale. We present results of our research on addressing the above challenges. Niche implements the autonomic computing architecture, proposed by IBM, in a fully decentralized way. Niche supports a network-transparent view of the system architecture simplifying the design of distributed self-management. Niche provides a concise and expressive API for self-management. The implementation of the platform relies on the scalability and robustness of structured overlay networks. We proceed by presenting a methodology for designing the management part of a distributed self-managing application. We define design steps that include partitioning of management functions and orchestration of multiple autonomic managers. In the second part, we discuss robustness of management and data consistency, which are necessary in a distributed system. Dealing with the effect of churn on management increases the complexity of the management logic and thus makes its development time consuming and error prone. We propose the abstraction of Robust Management Elements, which are able to heal themselves under continuous churn. Our approach is based on replicating a management element using finite state machine replication with a reconfigurable replica set. Our algorithm automates the reconfiguration (migration) of the replica set in order to tolerate continuous churn. For data consistency, we propose a majority-based distributed key-value store supporting multiple consistency levels that is based on a peer-to-peer network. The store enables the tradeoff between high availability and data consistency. Using majority allows avoiding potential drawbacks of a master-based consistency control, namely, a single-point of failure and a potential performance bottleneck. In the third part, we investigate self-management for Cloud-based storage systems with the focus on elasticity control using elements of control theory and machine learning. We have conducted research on a number of different designs of an elasticity controller, including a State-Space feedback controller and a controller that combines feedback and feedforward control. We describe our experience in designing an elasticity controller for a Cloud-based key-value store using state-space model that enables to trade-off performance for cost. We describe the steps in designing an elasticity controller. We continue by presenting the design and evaluation of ElastMan, an elasticity controller for Cloud-based elastic key-value stores that combines feedforward and feedback control.QC 20120831
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Crawford, Michael Joeph. "The psychosocial management of deliberate self harm." Thesis, Imperial College London, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.313055.
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Cobern, William R. "Asthma self-management using mobile phone technology." Thesis, University of Oxford, 2006. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.442382.
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Lavery, Katherine Angela. "Self-management in non-cystic fibrosis bronchiectasis." Thesis, University of Ulster, 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.490038.
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Introduction: The emphasis on self-management of long-term conditions, including respiratory conditions, is growing. Patients with respiratory conditions often have to adhere to medical treatments to prevent ill health and promote good health. They have to deal with psychological and social needs and maintain effective communication with health ;are practitioners. The role of a self-management intervention is not known in the management of patients with bronchiectasis thus this thesis includes a series of studies investigating self-management in bronchiectasis. The programme of research follows the Medical Research Council framework for the design of complex interventions to improve health from the preclinical phase to phase II (Campbell, Fitzpatrick et al 2000).
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Hipwell, Alison E. "Punjabi Sikh women's arthritis self management experiences." Thesis, Coventry University, 2010. http://curve.coventry.ac.uk/open/items/654f4c81-cbb9-545c-2f94-1f701f01cfab/1.
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Self-management interventions enhance the health self-management techniques and physical and psychological health outcomes among people with long-term health conditions (LTHCs). Few individuals from South Asian backgrounds attended the pilot phase of one such intervention: the Expert Patients Programme (EPP), a community-based self-management course. This raised concerns about exacerbating health inequalities. South Asian people have increased prevalence and severity of certain musculoskeletal conditions, yet little is known about their experiences of living with and self-managing these. This research aimed to rectify these omissions, by describing Punjabi Sikh women's experiences of living with and self-managing arthritis, and identifying barriers and facilitators to EPP. Three studies explored White and Punjabi Sikh EPP tutors‟ experiences of delivering EPP to South Asian attendees, and Punjabi Sikh women's experiences of living with and self-managing arthritis, both before and after they attended a Punjabi-language EPP. White and Punjabi Sikh tutors' sometimes dichotomous experiences of delivering EPP to South Asians, captured barriers to South Asian people's attendance, engagement and self-management. Facilitators identified included the need for sensitive tailoring of the Course, involving the Punjabi Sikh community. The Punjabi Sikh women's vibrant experiential accounts revealed the detrimental psychological and physical consequences that arthritis had upon their lives. Highly versatile in their proactive arthritis self-management prior to attending EPP, participants' refined techniques encompassed combinations of medication and Indian remedies, empowered by their religious and spiritual values. Following EPP attendance, the participants reported psychological and physical improvements in their arthritis. Thus, this Study established Punjabi Sikh 4 Abstract women's inherent acceptance of the concept of self-management, and, notwithstanding its current limitations, the likely appropriateness of EPP. Every Study represents a novel contribution to knowledge. Meaningful engagement with Punjabi Sikh community-members may produce a culturally-competent intervention that could better improve this group's physical and psychological outcomes, thus addressing one small area of health inequalities.
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Boger, Emma. "Self-management following stroke : concepts and measurement." Thesis, University of Southampton, 2014. https://eprints.soton.ac.uk/362824/.
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Stroke is a major cause of disability world-wide, representing a significant health and social burden (Feigin et al., 2009). Self-management has potential importance for reducing the personal and health service impact of illness, but is yet to be fully understood or measured in stroke (Boger et al., 2013, Jones & Riazi, 2011).This research sought to develop a new patient-reported outcome measure (PROM) of self-management following stroke. A mixed methods paradigm with three distinct phases was adopted. Focus group methodology (n=28) first explored self-management from the perspectives of people following stroke and informed the content of a preliminary PROM. Three key themes identified from the data affect stroke self-management; Individual capacity; Support for self-management and Self-management environment. Following the focus group enquiry, the preliminary PROM item pool consisted of 57 items relating to Individual Capacity. Cognitive Interviewing methodology (n=11) was next employed to refine the item pool and explore acceptability of the items. Finally, the revised PROM was subject to psychometric evaluation using responses from a nationally derived sample (n=87). Mokken scale analysis and correlations with additional outcome measures of theoretical importance were used to identify scale structure and investigate reliability and validity. The subsequent PROM, the Stroke Self-Management Questionnaire (SSMQ) forms a unidimensional Mokken scale which measures the construct of self-management competency. The SSMQ possesses excellent internal consistency reliability (Mokken r 0.89), test retest reliability (ICC 0.928) and represents a valid tool for the evaluation of stroke self-management interventions.
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He, Zhuoran. "Mobile Health Application for Diabetes Self-Management." Thesis, North Dakota State University, 2020. https://hdl.handle.net/10365/31846.
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As mobile healthcare applications are becoming more and more popular, it brings patients a more convenient way to self-management and communicating remotely compare to the traditional healthcare system. This paper introduces a healthcare mobile application of diabetes self-management that designed, developed, and tested by professor Li’s research team. The application is going to be used by American Indian diabetes patients in Lower Sioux Tribe. The application enabled patients to self-monitor their nutrients intake and health information. The social chatting and education functionality allow users to communicate and get educated remotely. By combining the advantages of both mobile health application and self-management systems together, the application provides great benefits especially for chronic diseases like diabetes. It is thrilling to see more and more implementations of mobile health self-management applications and improve the treatment of chronic disease.
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Терещенко, Ірина Володимирівна, Ирина Владимировна Терещенко, and Iryna Volodymyrivna Tereshchenko. "Self-management in ecological and economical systems." Thesis, Видавництво СумДУ, 2012. http://essuir.sumdu.edu.ua/handle/123456789/26798.
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The current system of nature includes two independent systems: material production and environmental protection.
Ecological and economical system (EES) can be defined as the integration of economy and nature, which are interrelated in social production and flow processes in nature and biosphere.
When you are citing the document, use the following link http://essuir.sumdu.edu.ua/handle/123456789/26798
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Cunningham, Christopher J. L. "Need for Recovery and Ineffective Self-Management." Bowling Green State University / OhioLINK, 2007. http://rave.ohiolink.edu/etdc/view?acc_num=bgsu1179866357.
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Hippler, Brooke Jenkins. "Self-management by beginning special education teachers /." The Ohio State University, 2000. http://rave.ohiolink.edu/etdc/view?acc_num=osu1488199501406811.
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Hernandez, Carlos, and Marion Slack. "Self-management of Pain Among Pharmacy Students." The University of Arizona, 2016. http://hdl.handle.net/10150/613984.
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Class of 2016 AbstractObjectives: The purpose of this study is to determine if pharmacy students are more likely to use pharmacological agents to manage pain and if men and women are equally likely to use pharmacological agents. Methods: Questionnaires were administered after a regularly scheduled class for first, second and third year pharmacy students. Data collected included a pain intensity rating, whether pain was acute or chronic, how the pain was managed (medication, exercise, etc.) and if pain interfered with activities. Results: A total of 218 students (41% men, 71% aged 19-25) participated; 70% reported acute pain, 16%, chronic pain, and 14%, no pain. Pain intensity was greater in the chronic pain group (5.8 ± 1.7) than in the acute pain group (5.0 ± 2.1; p = 0.028). Chronic pain respondents were more likely to use prescription NSAIDs, muscle relaxers, physical therapy, transdermal electrical nerve stimulation, steroid injections and beta blockers (p < 0.02). There were few differences between men and women; women used OTC NSAIDs and acetaminophen at higher rates than men (p < 0.02). Women also used two non-pharmacological strategies (changed position and relaxation) at higher levels than men (p < 0.02). Students with chronic pain reported more pain interference with daily and leisure activities (p < 0.005) and work (p = 0.003) than students in the acute pain group. Conclusions: Different strategies were used for pain management between acute and chronic pain participants, and also between both men and women. Students with chronic pain reported more interference with activities than those with acute pain.
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Asmare, Eskindir Ayallew. "Self-management framework for mobile autonomous systems." Thesis, Imperial College London, 2011. http://hdl.handle.net/10044/1/6898.
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The advent of mobile and ubiquitous systems has enabled the development of autonomous systems such as wireless-sensors for environmental data collection and teams of collaborating Unmanned Autonomous Vehicles (UAVs) used in missions unsuitable for humans. However, with these range of new application domains comes a new challenge – enabling self-management in mobile autonomous systems. The primary challenge in using autonomous systems for real-life missions is shifting the burden of management from humans to these systems themselves without loss of the ability to adapt to failures, changes in context, and changing user requirements. Autonomous systems have to be able to manage themselves individually as well as to form self-managing teams that are able to recover or adapt to failures, protect themselves from attacks and optimise performance. This thesis proposes a novel distributed policy-based framework that enables autonomous systems to perform self management individually and as a team. The framework allows missions to be specified in terms of roles in an adaptable and reusable way, enables dynamic and secure team formation with a utility-based approach for optimal role assignment, caters for communication link maintenance among team members and recovery from failure. Adaptive management is achieved by employing an architecture that uses policy-based techniques to allow dynamic modification of the management strategy relating to resources, role behaviour, team and communications management, without reloading the basic software within the system. Evaluation of the framework shows that it is scalable with respect to the number of roles, and consequently the number of autonomous systems participating in the mission. It is also shown to be optimal with respect to role assignments, and robust to intermittent communication link disconnections and permanent team-member failures. The prototype implementation was tested on mobile robots as a proof-ofconcept demonstration.
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Johnson, Jay T. "Biculturalism, resource management and indigenous self-determination." Thesis, University of Hawaii at Manoa, 2003. http://proquest.umi.com/pqdweb?index=0&did=765033411&SrchMode=1&sid=2&Fmt=2&VInst=PROD&VType=PQD&RQT=309&VName=PQD&TS=1233353190&clientId=23440.
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Burks, Kathryn J. "Self-management of osteoarthritis : an intervention study /." free to MU campus, to others for purchase, 2001. http://wwwlib.umi.com/cr/mo/fullcit?p3012952.
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Seidlová, Barbora. "Evaluation of Self-management in Corporate Environment." Master's thesis, Česká zemědělská univerzita v Praze, 2016. http://www.nusl.cz/ntk/nusl-258246.
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Self-management is considered to be a useful strategy in the contemporary changing business environment and is influenced by the key issues such as the time management, goals setting and evaluation of factors influencing performance. The main aim of this thesis is to identify factors determining the essence of self-management and the relationship between each key factors influencing self-management performance by managers within corporate environment. The primary data have been collected through questionnaire survey across all levels of management with managers who seek for further self-development. Complex factors are identified using the exploratory factor analysis, which found 6 factors: (F1) Self-managed worker, (F2) Time-managed, (F3) Planner/analyst, (F4) Well-cared worked, (F5) Life-oriented worker and (F6) Ineffective worker. The confirmatory factor analysis further evaluated three positive and four negative relations between extracted factors. The outcomes can be used as a determination of managers approaches to self-management. These researched results serve managers as the basis for leadership and further development of self-managed team members.
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Joinson, Adam N. "The relationship between strategies of self-protection and self-improvement in the management of self-knowledge." Thesis, University of Hertfordshire, 1996. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.309714.
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Asif, Fayyaz Muhammad. "Achieving Robust Self Management for Large Scale Distributed Applications using Management Elements." Thesis, KTH, School of Information and Communication Technology (ICT), 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-24229.
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Abstract
Autonomic computing is an approach proposed by IBM that enables a system to self-con gure, self-heal, self-optimize, and self-protect itself, usually referred to as self-* or self-management. Humans should only specify higher level policies to guide the self-* behavior of the system.
Self-Management is achieved using control feedback loops that consist of four stages: monitor, analyze, plan, and execute. Management is more challenging in dynamic distributed environments where resources can join, leave, and fail. To address this problem a Distributed Component Management System (DCMS), a.k.a Niche, is being developed at KTH and SICS (Swedish Institute of Computer Science). DCMS provides abstractions that enable the construction of distributed control feedback loops. Each loop consists of a number of management elements (MEs) that do one or more of the four stages of a control loop mentioned above.
The current implementation of DCMS assumes that management elements (MEs) are deployed on stable nodes that do not fail. This assumption is dicult to guarantee in many environments and application scenarios. One solution to this limitation is to replicate MEs so that if one fails other MEs can continue working and restore the failed one. The problem is that MEs are stateful. We need to keep the state consistent among replicas. We also want to be sure that all events are processed (nothing is lost) and all actions are applied exactly once.
This report explains a proposal for the replication of stateful MEs under DCMS framework. For improved scalability, load-balancing and fault-tolerance, dierent breakthroughs in the eld of replicated state machine has been taken into account and discussed in this report. Chord has been used as an underlying structured overlay network (SON). This report also describes a prototype implementation of this proposal and discusses the results.
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Cook, Susanne Welch. "Adolescent risk preference and asthma symptom self-management: Assessing symptom management scenarios." Diss., The University of Arizona, 2004. http://hdl.handle.net/10150/280507.
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Adolescent asthma symptom self-management choices frequently involve uncertain outcomes that include potential dangers such as trigger exposures or delays in treatments that can lead to increased morbidity or mortality. Nurses must understand factors that influence how adolescents make symptom decisions. The purpose of the investigation was to assess eight adolescent asthma symptom scenarios for use with the standard gamble technique (SGT) for making choices. The aims were to: (1) estimate the internal consistency and content validity of the scenarios; (2) estimate the relationship between measured risk preferences, age, and gender; and (3) describe adolescent responses to using the SGT. Thirty-six adolescents participated. Risk preferences or utilities elicited during face-to-face interviews with 31 adolescents were used to answer research questions. Data were analyzed using descriptive statistics, Cronbach's alpha, Kendall's tau correlations, and point biserial correlations. Content validity (CV) ratings from 36 adolescents were used to compute indexes and establish CV of the scenarios. Qualitative responses were analyzed using a modified case study strategy to further establish CV and assess using SGT with adolescents. The estimates of internal consistency reliability and relationships between utilities, age, and gender were limited by the non-normal distributions of utility and age data sets and small sample size. The standardized alpha was .70 for the eight-scenario composite. Eight significant inter-item correlations and seven significant item-total correlations were identified. One significant correlation between age and an individual scenario utility score was found. No significant relationships between age and mean utility scores or gender and the individual or mean utility scores were seen. The CV indexes support the relevancy of the content of the eight-scenario composite as evidenced by 94.5% of the adolescents rating the individual scenarios as CV for the domains and 92% for the risk areas. In addition, the adolescents rated 94% percent of the composites as CV. The qualitative responses support the quantitative data and describe the SGT as a method that adolescents can use. Future studies are needed with a larger sample to further examine the internal consistency of the scenarios and the relationships between age, gender, and utility scores measured with the SGT.
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Cullen, John. "Management Learning and the Construction of Self : The Influence of a Spiritual Management Development Programme on Managers Perception of Self." Thesis, Lancaster University, 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.531685.
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Coates, Vivien Elizabeth. "Beliefs, knowledge, and the self-management of diabetes." Thesis, University of Ulster, 1993. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.359523.
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Omar, Wail M. "Self-management middleware services for autonomic grid computing." Thesis, Liverpool John Moores University, 2006. http://researchonline.ljmu.ac.uk/5784/.
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Asim, Muhammad. "Self-organization and management of wireless sensor networks." Thesis, Liverpool John Moores University, 2010. http://researchonline.ljmu.ac.uk/5998/.
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Wireless sensor networks (WSNs) are a newly deployed networking technology consisting of multifunctional sensor nodes that are small in size and communicate over short distances. These sensor nodes are mainly in large numbers and are densely deployed either inside the phenomenon or very close to it. They can be used for various application areas (e.g. health, military, home). WSNs provide several advantages over traditional networks, such as large-scale deployment, highresolution sensed data, and application adaptive mechanisms. However, due to their unique characteristics (having dynamic topology, ad-hoc and unattended deployment, huge amount of data generation and traffic flow, limited bandwidth and energy), WSNs pose considerable challenges for network management and make application development nontrivial. Management of wireless sensor networks is extremely important in order to keep the whole network and application work properly and continuously. Despite the importance of sensor network management, there is no generalize solution available for managing and controlling these resource constrained WSNs. In network management of WSNs, energy-efficient network selforganization is one of the main challenging issues. Self-organization is the property which the sensor nodes must have to organize themselves to form the network. Selforganization of WSNs is challenging because of the tight constraints on the bandwidth and energy resources available in these networks. A self organized sensor network can be clustered or grouped into an easily manageable network. However, existing clustering schemes offer various limitations. For example, existing clustering schemes consume too much energy in cluster formation and re-formation. This thesis presents a novel cellular self-organizing hierarchical architecture for wireless sensor networks. The cellular architecture extends the network life time by efficiently utilizing nodes energy and support the scalability of the system. We have analyzed the performance of the architecture analytically and by simulations. The results obtained from simulation have shown that our cellular architecture is more energy efficient and achieves better energy consumption distribution. The cellular architecture is then mapped into a management framework to support the network management system for resource constraints WSNs. The management framework is self-managing and robust to changes in the network. It is application-co-operative and optimizes itself to support the unique requirements of each application. The management framework consists of three core functional areas i.e., configuration management, fault management, and mobility management. For configuration management, we have developed a re-configuration algorithm to support sensor networks to energy-efficiently re-form the network topology due to network dynamics i.e. node dying, node power on and off, new node joining the network and cells merging. In the area of fault management we have developed a new fault management mechanism to detect failing nodes and recover the connectivity in WSNs. For mobility management, we have developed a two phase sensor relocation solution: redundant mobile sensors are first identified and then relocated to the target location to deal with coverage holes. All the three functional areas have been evaluated and compared against existing solutions. Evaluation results show a significant improvement in terms of re-configuration, failure detection and recovery, and sensors relocation.
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Vázquez, María Inés. "Self-management of change processes in educational centers." Pontificia Universidad Católica del Perú, 2013. http://repositorio.pucp.edu.pe/index/handle/123456789/117260.
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This paper addresses the self-management processes of change, referring to a series of processes that take place in education centers undergoing change. The perspective from which the approach is proposed is educational management. The evidences integrated into the document are the result of a study conducted in Uruguay, which involved seven primary, secondary, and technical schools. The approach used has been the study of multiple cases with the intention of analyzing the phenomenon in specific contexts, integrating the possibility of studying it from a global perspective. The overall objective was to achieve greater understanding of the self-evaluation and change processes in schools. Within the specific objectives we highlight: to identify the possible links between self-assessment and decision makingEste trabajo aborda los procesos de autogestión del cambio, haciendo alusión a una serie de procesos que se desarrollan en centros educativos en fase de cambio. La perspectiva desde la cual se propone su abordaje es la gestión educativa. Las evidencias integradas al documento, son el resultado de un estudio desarrollado en Uruguay, que involucró a siete centros de educación primaria, media y técnica. El abordaje utilizado ha sido el estudio de casos múltiples con la intención de analizar el fenómeno en contextos específicos, integrando la posibilidad de estudiarlo desde una perspectiva global. El objetivo general fue lograr mayor comprensión sobre los procesos de autoevaluación y cambio en centros educativos. Entre los objetivos específicos destacamos el de identificar posibles vinculaciones entre la autoevaluación y la toma de decisiones
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Alshehri, Abdullah R. "A model to evaluate diabetes self-management programmes." Thesis, University of Southampton, 2010. https://eprints.soton.ac.uk/172565/.
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Self-management has emerged as an approach to enhance quality of care for patients suffering from long term conditions, and to control costs of health services. So far, however, the effects of this approach as adopted by the Saudi healthcare system in the early 1990s remain unclear. Although current models define the concept of self-management, they do not provide a systematic development or an explanatory theory of how self management affects the outcomes of care. The objective of this research is to develop a framework applicable to the evaluation of self-management programmes. The evaluation model is built on patient-related intervention. The effectiveness of these interventions is determined by the levels of patient engagement and effective participation. Therefore, studying factors that influence patients‘ adherence to self-management activities is crucial to explain the outcomes of these interventions. We apply this framework to the case of diabetes mellitus, one of the most common chronic conditions in Saudi Arabia, causing huge burdens on patients and healthcare providers. A non-experimental retrospective cross-sectional survey research design has been employed to conduct this research using a self-administered questionnaire. Closed-ended questions were used to measure all study variables related to model construction. One open-ended question was used to investigate barriers to diabetes self-management. A non-probability convenient sample design was used to select diabetes centres participated in this study and a systematic approach for selecting patients in these centres. Research data were collected from five diabetes centres and clinics in the main five regions in Saudi Arabia. Quantitative data were analysed using simple, multiple and logistic regressions, whereas a directed content analysis approach was used to analyse qualitative data. The results of this study revealed that diabetes self-management improves clinical outcomes and reduces utilization of health services. The theoretical approaches underpinning self-management were based on established models from the field of health psychology. By investigating the effect of self-efficacy patients‘ beliefs, and locus of control on self-management, we found that these behavioural theories support the core assumptions of self-management. Self-efficacy was the most significant predictor of self-management followed by patient beliefs. Social support, effective communication between patients and health providers in addition to diabetes knowledge were all important factors to positively influence diabetes self-management. However a new construct, misconception of fatalism from the Islamic point of view, was found to play a negative role in diabetes management. The research model also suggests that diabetes knowledge was influenced by several factors. Education level was the most significant predictor of diabetes knowledge followed by age and diabetes education. It was also found that group education improves diabetes knowledge more than individual education. This model is a valid tool that could be used to evaluate self-management programmes in other chronic diseases. It can be used as a decision making supporting tool; to identify different components of self-management interventions, and to compare outcomes of programmes. It can also be used to group patients into different categories to facilitate providing tailored services suitable for each group. It could assist health providers to plan new interventions or to refine existing ones by allocating efforts and financial resources toward the most influential factors that affect patients‘ adherence to self-management activities.
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Nwokolo, Okey Martins. "Classroom Management Self-Efficacy in Elementary School Counselors." Diss., Virginia Tech, 2021. http://hdl.handle.net/10919/102219.
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The Council for Accreditation of Counseling and Related Educational Programs (CACREP) standards specifically require school counselors to be competent in the use of effective classroom management strategies, differentiated instruction, and in designing school counseling core curriculum. While the existing inquiries have contributed significantly to the school counseling knowledge base regarding classroom management, our field lacks adequate research specific to the classroom management self-efficacy of elementary school counselors. This quantitative study utilized the School Counselor Self Efficacy Scale, the Teachers' Sense of Efficacy Scale, and a demographic questionnaire to collect data from a cross-section of elementary school counselors working in Virginia public schools. Differences in elementary school counselors' self-efficacy in classroom management were examined across the following variables: (a) working in schools with a recognized ASCA model program (RAMP) designation, (b) working in a setting that uses school-wide positive behavioral interventions and supports (SWPBIS), (c) prior teaching experience, and (d) years of counseling experience. Analysis showed that elementary school counselors working in schools that participated in SWPBIS had significantly higher classroom management self-efficacy than did school counselors working in schools that did not implement SWPBIS. Surprisingly, elementary school counselors in schools designated as RAMP had significantly lower classroom management self-efficacy than those working in schools without RAMP status. No significant differences in classroom management self-efficacy by years of counseling experience or prior K–12 teaching experience were evident. Implications of these findings are discussed.Doctor of Philosophy
Well-managed classrooms make it easier for school counselors to effectively deliver school counseling core curriculum (SCCC) to address the social, personal, academic, and career-related needs of a large number of students at a time. Questions have been raised regarding factors that influence the performance of school counselor roles, and a number of researchers have reported counselor self-efficacy, a person's belief in their ability to execute behaviors necessary to produce specific performance, as critical for effectively carrying out school counseling tasks. While existing inquiries have contributed significantly to the school counseling knowledge base regarding classroom management, little is known about the classroom management self-efficacy of elementary school counselors. The purpose of this quantitative research study was to explore the classroom management self-efficacy of elementary school counselors delivering SCCC lessons in Virginia schools. Data were collected using the School Counselor Self-Efficacy scale, the Teachers' Sense of Efficacy Scale, and a demographic questionnaire. Findings showed that classroom management self-efficacy scores differed among elementary school counselors working in schools that implement school-wide positive behavioral interventions and supports (SWPBIS) compared to those working in non-SWPBIS schools. Similarly, classroom management self-efficacy levels differed among counselors working in schools with recognized ASCA model program (RAMP) designation and counselors working in non-RAMP designated schools. Elementary school counselors who received training in classroom management had higher classroom management self-efficacy scores compared to those who did not receive training in classroom management. No significant differences were found in classroom management self-efficacy by years of counseling experience or prior K–12 teaching experience.
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Emanuelsson, Magnus. "Self-served campaign management tool for contextual advertising." Thesis, Umeå universitet, Institutionen för tillämpad fysik och elektronik, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-173406.
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Advertising is an essential way of communicating value to the audience. Adlede does this with context in focus when finding articles with right content to the right campaigns. To know if matching articles are good, advertisers need to get statistics from the campaign. Today a tool for this does not exist. This master thesis analyses, how to best develop a self-serve, user-friendly campaign management tool for publishing a campaign and shows results from the campaign. This thesis design and create a concept of a management tool with help of frequently used UX design method. To get a solution for this concept, interviews, designs, prototypes and user testing have taken place. A final design suggestion has been determined.
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Johnson, Kiana, Sarah Mapel-Lentz, Barbara McMorris, and P. Scal. "Improving Self-management Skills through Youth Centered Communication." Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/7009.
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Purpose: We tested relationships between patient-centered communication (PCC), relatedness to health care providers, and autonomy around health care management among youth with and without mobility limitations (MLs) and examined whether the relationship between PCC and autonomy was mediated by how connected youth feel to their health care providers.
Methods: Stratified multiple regression models were used to examine predicted associations for youth with and without MLs.
Results: PCC was significantly associated with relatedness to health care providers and autonomy for managing health care among youth with and without MLs. After controlling for covariates, evidence of mediation was observed among youth without MLs but not for youth with MLs.
Conclusions: For youth without MLs, mediation suggests that youth's connection to their health care provider contributes to higher levels of health-related autonomy. For youth with MLs, independent of feeling connected to health care providers, more frequent PCC resulted in higher levels of health-related autonomy.
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Herron, Holly Lynn. "Paramedic Students' Perceived Self-Efficacy at Airway Management." Otterbein University / OhioLINK, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=otbn1399291921.
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Kumar, Vibhore. "Enabling scalable self-management for enterprise-scale systems." Diss., Atlanta, Ga. : Georgia Institute of Technology, 2008. http://hdl.handle.net/1853/24788.
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Thesis (Ph.D.)--Computing, Georgia Institute of Technology, 2008.Committee Chair: Schwan, Karsten; Committee Member: Cooper, Brian F.; Committee Member: Feamster, Nick; Committee Member: Liu, Ling; Committee Member: Sahai, Akhil.
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Schumacher, Constance Louise. "Understanding Self-Management Decision Making in Heart Failure." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/4099.
Full textAbstract:
Heart failure patients are responsible for managing fluctuations in symptoms between exacerbations by employing treatment adherence, active monitoring, and management strategies based on expert guidelines. Despite education, delayed help seeking persists among those in the need of acute medical intervention, as evidenced by high hospital admission and readmission rates. The purpose of this qualitative grounded theory study was to explore the decision making processes undertaken by heart failure, community-dwelling individuals as they experience symptom changes. Eighteen face-to-face interviews were conducted with participants who had heart failure and received self-management education from a home care agency in Southern Ontario, Canada. Data were analyzed using iterative steps of open, axial, selective coding, and qualitative software text queries. Three process themes were identified: perceiving symptoms, normalizing symptoms, and adapting to symptoms, with an overarching theme of control and absence of consultative behaviors. The central concept revealed in this study was normalizing symptoms in heart failure which included actions taken by participants to mitigate symptom fluctuations. Daily fluctuations were assimilated into normal life resulting in desensitization of symptom recognition and a loss of functional capacity. These findings can be used to inform system changes needed to strengthen consultative patient-health professional relationships required for effective self-management problem-solving. This study leads to positive social change by explaining how self-management is practiced from the patient's perspective, which can inform practice recommendations and future research.
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Hillman, Laketa Monique. "Experiences of Chronic Disease Self-Management Program Leaders." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/3105.
Full textAbstract:
Chronic conditions are public health threats. The Chronic Disease Self-Management Program (CDSMP) is an evidence-based disease management program that addresses personal self-management of chronic conditions. The CDSMP involves peer trainers who instruct and assist with chronic disease preventive measures. Although disease management demonstrates promise to improving patient self-maintenance, previous researchers have not evaluated how the program affects program leaders. The purpose of this study was to discover how self-help leaders feel about the CDSM program. The overarching research question asked about perspectives that self-help leaders had toward the program. Through a narrative qualitative approach, the perceptions of peer leaders were examined to determine if the program was personally beneficial. Guided by the social cognitive theory, a purposeful convenience sample of 20 participants completed the study. The participants were practicing peer trainers in the CDSMP program. Data analysis included hand coding using open and axial coding and content analysis. Study findings included themes surrounding how the CDSMP program benefits health in general as well as the management of facilitators' own chronic diseases, health behaviors, and increased quality of life. The ability for chronic disease management leaders to experience positive effects of the program they administer may result in positive social change. This awareness can positively affect social change by enhancing an already established evidence-based community health program with stronger and better-equipped leaders.