Dissertations / Theses on the topic 'Wellbeing and community services'

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1

Waters, Elizabeth. "Measuring child health and wellbeing." Thesis, University of Oxford, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.270153.

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2

Shahidullah, AKM. "Community-Based Developmental Entrepreneurship: Linking Microfinance with Ecosystem Services." International Journal of Development and Sustainabilty, 2 (3), 1703-1722, 2013. http://hdl.handle.net/1993/31836.

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This research examined whether microfinance-assisted developmental mechanisms can integrate ecological objectives alongside social and economic ones—thus promoting sustainability. The specific focus was to test the ability of microenterprises operated by community-entrepreneurs in supporting local ecosystem services. To this end, the research: elucidated the nature and dynamics of linkages between communities and the local ecosystems with the lens of coupled social-ecological systems, i.e. illustrated ecological modernization of microenterprises in a developing country context; tested how community-based enterprises transform upon application of green microfinance strategy; and then recognized how social learning is promoted through such community-based intervention mechanisms, e.g. microfinance. The research used case study and participatory approaches. The case study comprised two components: i) a green microfinance program, and ii) communities in a riparian, and a wetland ecosystem in Bangladesh engaged in entrepreneurship. The major tools that the study employed for data collections were: household surveys, participatory land -use surveys, semi-structured interviews, key informant interviews, focus group discussions, multi-stakeholder workshops, field observations, and document reviews. The research findings reveal that the green microfinance strategy, in the short and medium terms, catalyzes entrepreneurial and social innovations, and combine the embedded economic and social objectives of the classic microfinance with the new ecological objectives towards sustainability. The strategy applied by Microfinance Institution (MFI) and adopted by community enterprises transformed the ventures—helping them to go green and reducing greenhouse gas emission. Besides, the partnerships that occur between non-governmental organization (NGO) and community-based organization (CBO) in the process of implementing developmental programs—result social learning and innovations in the communities. The research review found grassroots developmental initiatives as an evolving phenomenon over time. With this view, and with its observation through this cross-sectional study, the research proposes a framework entitled ‘community-based developmental enterprise (CBDE)’. The framework proposes community level entrepreneurial ventures, associated NGO-MFIs, CBOs and other development partners to consider ecosystem services and wellbeing components in entrepreneurial design and actions.
October 2016
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3

Dennis, Matthew. "The role of community-led innovation in the adaptive capacity of ecosystem services in an urban social-ecological system." Thesis, University of Salford, 2015. http://usir.salford.ac.uk/35449/.

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Urban areas are hubs of creativity and innovation providing fertile ground for novel responses to modern environmental challenges. One such response is the community-led management of urban green spaces as a form of organised social-ecological innovation (OSEI). Previous studies have attempted to conceptualise the ecological, social and political potential of such informal approaches to urban green space management. However, little work has been carried out into their efficacy in the landscape, either by describing the social-ecological conditions influencing their occurrence or by quantifying the actual benefits in terms of ecosystem service provision. This research explores the emergence and impact of OSEI in a continuous urban landscape comprising the metropolitan areas of Manchester, Salford and Trafford (UK). The social-ecological context and content of OSEI were investigated using a cross-scale approach. At the landscape scale a snowball-sampling method mapped the occurrence of OSEIs using GIS and remote sensing technology. At the micro-scale, a case study quantified relative levels of provision across four key ecosystem services. The analysis presented OSEI as an adaptive response to environmental stressors, clustered around “hubs” of social-ecological innovation in the urban landscape. The distribution of OSEIs was influenced by historical context, degree of urbanisation and dependent on levels of, and dynamics between, social and ecological deprivation. Urban agriculture was instrumental as a catalyst for the emergence of OSEI and the associated production of a range of ecosystem services. Site productivity was also influenced by spatial and design considerations. This thesis has detailed the character of OSEI as a coherent phenomenon in the urban landscape which exhibits valuable response diversity according to social-ecological conditions. This, together with an evaluation of factors influencing ecosystem service provision at the local scale, has informed the validity of OSEI as an element of adaptive capacity which contributes to resilience in urban social-ecological systems.
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Mahajan, Shauna. "Who benefits and who loses? : Evaluating the impacts of community-based marine protected areas on ecosystem services and human wellbeing." Thesis, Stockholms universitet, Stockholm Resilience Centre, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-105721.

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Coral reef ecosystems are some of the most biologically diverse systems in the world, and provide a number of ecosystem services that humans depend on for their wellbeing. Marine protected areas (MPAs) are a social-ecological intervention that while conserving these ecosystems, also have significant impacts on the communities that depend on them for their wellbeing. Community-based MPAs are growing in popularity with the assumption that by putting communities at the forefront of their planning and management, more participation will occur, ensuring positive social and ecological impacts. This study, through mixed qualitative and quantitative methods, examines two community-based MPAs in coastal Kenya (called tengefus) to understand how each tengefu was incepted, and how resource users perceive the impacts of the tengefu on ecosystem services and human wellbeing. Participation in and donor support for the tengefu were found to influence how resource users perceived impacts. Individuals who were more engaged in the project or held some type of leadership position perceived more positive impacts on ecosystem services and human wellbeing compared to those not involved. In the two cases, tangible benefits (e.g. fisheries spillover and ecotourism) from the marine enclosure itself are too few to benefit the community as a whole. For tengefus to be social successes, more attention should be given to engaging all resource-dependent community members in their planning, implementation and management, and to understanding the multifaceted role of donor funding in supporting these initiatives.
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Alizadeh, khoei Mahtab. "Assessing factors in utilisation of health services and community aged care services by the Iranian elderly living in the Sydney metropolitan area." University of Sydney, 2008. http://hdl.handle.net/2123/3986.

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Doctor of philosophy (PhD)
Abstract As one of the most culturally diverse countries in the world, Australia has a high proportion of minority communities. However, its ageing population, particularly within these ethnic minorities, faces a range of barriers or difficulties in gaining access to and using health and aged care services. This study aims to identify the acculturation factors that affect the health status of Iranian-born elderly immigrants to Australia and their utilisation of health and community aged care services. The results of this study will be of value to Iranian elders, their families, and Australian aged health care service providers. The findings could also contribute towards enriched multicultural policy and improved social fairness, access to services, and equity for the aged from different ethnic backgrounds. 302 Iranian migrants aged 65 years who had lived in the Sydney Metropolitan area for at least six months were surveyed via a written questionnaire, face-to-face interviews, and telephone interviews. The results were analysed using SPSS and then compared to the findings from a 1999 survey of NSW elderly. The results indicate that Iranian migrants suffer higher levels of psychological distress and are more limited in their physical functioning than the general population of older Australians. They are in greater need of assistance with activities of daily living, have a lower sense of wellbeing, and are far less likely to utilise aged care services. Iranian migrant who do not speak English at home experience these disadvantages to an even greater extent English language proficiency was the only acculturation factor found to affect whether Iranian elderly utilised health and community aged care services, while ability to engage in activities of daily living (ADL) was the only health variable associated with their utilisation of community supportive aged care services. This variable did not predict the use of community aged care services in the broader sample of NSW respondents. Since limited proficiency in English placed elderly Iranian migrants at greater health risk and impeded their access to necessary assistance, the findings suggest that they would clearly benefit from English classes and from access to health and community care services and information regarding these services in the Farsi language.
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Bentley, Rosemary Diane. "Dancing with the Shadows of Wellbeing: An Exploration of Participatory Action Research Processes as a Catalyst for Transformation of Staff Wellbeing." The University of Waikato, 2007. http://hdl.handle.net/10289/2505.

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My abiding concern with human and planetary wellbeing and an emerging interest in the potential of Participatory Action Research as a method of engaging with restorative, life-enhancing ways of being are central to the research reported here. Chomsky (2003), Kelsey (2002), Roddick (2001), and Stiglitz (2003) are amongst many authors who argue that the way in which we shape and are shaped by our relationships with one another has contributed to an intolerable, inhumane and unsustainable compromise of human and planetary wellbeing. Through a Participatory Action Research (PAR) project with staff from Te Ra, a community based on the holistic ideals of Rudolf Steiner, and thus an organisation explicitly committed to holistic wellbeing of people and planet, we sought to explore the challenges to such wellbeing. While our mutual attention was focused on enhancing staff wellbeing at their place of employment, my wider attention was also given to an investigation of the value of a critical analysis to the wider political and economic context in which this organisation works to meet the aspirations of this community. My deep attention has also focused on the potential for PAR to make a contribution to the transformational aspirations of critical theorists who are concerned to uncover and transform aspects of society that inhibit justice and wellbeing of people and planet. My metaphor of choice, to allow me the engagement in all three spheres simultaneously, is the metaphor of Dance. In my work with the staff of Te Ra, our intent was to 'dance with the Shadows', alluding to Jungian references to hidden aspects of ourselves and this community, to discover if un-wellness and disconnection from self and others could be transformed into flourishing relationships and wellbeing in the organisation. McNiff (2000) proposes that PAR has the potential to generate living theories that redefine the main purpose of organisation theory in terms of human wellbeing. Throughout this research project, principles of PAR are woven in with work of critical organisational theorists, psychologists and anthropologists. The already established ideas of reflection, observation, reflexivity, and action are choreographed with the less often considered ideas of those aspects of the research relationship that may inhibit mutuality. While this organisation is explicitly and deeply committed to underpinning all that is aspired to with a relational ethic, the impact that instrumental practices associated with an intensifying neo-liberal economic external environment have not left this organisation untouched. It took commitment, courage and resources to identify and engage with the Shadows masked by intrinsic and extrinsic pressures and processes that these research participants were experiencing. Engaging in PAR processes allowed us dance 'up close and personal' with their aspirations to begin transforming what was not well, while recognising and reinforcing the organisation's existing strong philosophical and spiritual foundations that emphasized individual freedom and collective responsibility for wellbeing of all. Based on the significant transformations achieved during this project we posit that PAR provides a collaborative opportunity for academics and practitioners to 'dance with the Shadows' of individuals and communities to make a significant contribution to the development of sustainable relationships in workplaces where human and planetary wellbeing is the priority.
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7

Wellstead, Peta Veronica. "The help seeking behaviour of Australian men during stressful life events: an exploration of information exchange relationships." Thesis, Curtin University, 2009. http://hdl.handle.net/20.500.11937/2034.

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In recognition of the particular issues related to health and wellbeing considerable government and community resources have been forthcoming in recent times for the development of information products and support services to assist members of the community to seek help for issues related to their health and wellbeing. Notwithstanding this investment, research from studies into help seeking by Australian men shows that men are not aware of these information products and services have difficulty mobilising help during periods of physical ill health and mental stress. Men are over reported in the statistics for premature death in Australia and male suicide is a significant public health issue in Australia. Aspects of Australian culture may lead to increased risk of poor health, harming behaviours and suicide in Australian men. Social norms may also impact on low levels of voluntary help seeking by Australian men.At the core of this research is an examination of the information seeking behaviour of a group of Australian men who engaged in help-seeking during a significant, and stressful, life event. The research also canvassed the opinions of this group of men and a group of professionals who offer help and support to men during stressful life events for their opinions on effective strategies to engage men about the worth of early help seeking to enhance physical and mental health.This thesis also examines a range of existing models which seek to explain human information behaviour and the variety of ways which individuals access and use information in a range of contexts. It explores how these models can increase understanding of men’s information seeking for personal decision making and personal change. Research which provides data on the possible protective role of healthy emotional attachment systems, together with the role of social and emotional support across the life span, and the information delivery capacity of this support, is also examined.The research leads to recommendations for enhanced social policy to support men’s information needs during periods of life stress. It also makes recommendations for enhanced praxis in order that information practitioners, and the agencies in which they work, may better engage with men with information products and support systems which will lead to increased personal wellbeing for men and their families.
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Gakunde, Yves P. "The potential role of payment for ecosystem services in protected area management in Rwanda: A case study from Gishwati-Mukura national park." Antioch University / OhioLINK, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1597951038532134.

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9

Butler, Lucy. "Caregiver wellbeing in psychosis services." Thesis, Canterbury Christ Church University, 2016. http://create.canterbury.ac.uk/15029/.

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The study aimed to examine the relationship between wellbeing, burden, distress and third-wave factors, including self-compassion and psychological flexibility, in caregivers of people with psychosis. The study secondly aimed to trial a new brief group intervention, combining Acceptance and Commitment Therapy (ACT) and Compassion-focused Therapy (CFT) for this population. Twenty-nine participants were assessed at baseline on primary measures of wellbeing, distress, psychological flexibility and self-compassion. Secondary factors including burden and mindfulness were also collected. Correlation analyses were used. Fourteen participants completed the group in intervention and follow-up measures, and pre-post investigations were employed. Lower levels of psychological flexibility and self-compassion were related to lower levels of wellbeing and higher levels of burden and distress. There was a potential mediating effect of psychological flexibility on the relationship between self-compassion and wellbeing. The group intervention was acceptable to caregivers, and there were significant positive changes in self-compassion, distress, burden and mindfulness. The study adds to the existing data regarding wellbeing and burden in caregivers of people with psychosis. This study provides new insights into the factors of self-compassion and psychological flexibility within this population. The ACT with Compassion intervention is a promising, brief intervention which would benefit from further application and evaluation.
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10

Bergin, Melissa. "Community wellbeing in retirement villages /." [St. Lucia, Qld.], 2006. http://www.library.uq.edu.au/pdfserve.php?image=thesisabs/absthe19182.pdf.

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11

Hinshaw, Tessa. "Community arts and child wellbeing." Thesis, Canterbury Christ Church University, 2014. http://create.canterbury.ac.uk/12810/.

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There is growing evidence to suggest that group singing in the community can have positive outcomes for physical and psychological wellbeing. To date, research has focused on adult populations. This study aimed to add to existing understanding of the impact group singing can have on children’s psychological wellbeing. A mixed method study was carried out to investigate the impact of a community group singing project on the psychological wellbeing of school children in the London area. Self-rated measures of psychological wellbeing and identity as a singer were administered to 60 children aged 7-11 at three time points. A teacher-rated measure of psychological difficulties was also administered. Finally, a sample of children discussed their experience of the project in focus groups and music teacher interviews were carried out. Quantitative data did not confirm the hypothesis that choir member’s psychological wellbeing would increase following participation in the singing project. Identity as a singer scores were higher for females than males, and correlated with scores of psychological wellbeing. Qualitative data provided evidence for a range of beneficial outcomes for children. Research limitations: The small number of participants recruited for the non-choir control group is a significant limitation of quantitative methods in this study. Originality: Although group singing appears to be a positive experience for children who participate, findings suggest the impact may be more subtle for children with high levels of psychological wellbeing.
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12

Coghlan, Jeanine. "Exploring psychological wellbeing in community orchestra players." Diss., University of Pretoria, 2020. http://hdl.handle.net/2263/75215.

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This study concerns the idea that musical involvement contributes to a person’s overall wellbeing. This research aimed to explore wellbeing among members of a community orchestra using the PERMA (positive emotions, engagement, relationships, meaning and accomplishment) model as a framework and a lens through which to understand wellbeing experiences.
The idea that musical involvement contributes to a person’s overall wellbeing has been widely suggested by various authors. However, the extent to which this is a reality does not seem to have been sufficiently studied. This research aimed to explore wellbeing among members of a community orchestra using the PERMA (positive emotions, engagement, relationships, meaning and accomplishment) model as a framework and a lens through which to understand wellbeing experiences. The research project was a qualitative study, using a case-study design. Research participants consisted of ten community orchestra musicians in Gauteng, South Africa. Each member was interviewed by means of semi-structured, in-depth interviews, probing their reported experiences that related to wellbeing. The questions were inspired by, and based on, the elements: positive emotions, engagement, relationships, meaning and accomplishment. The results reveal reasons underlying members’ commitment to a community orchestra and particular objectives they establish for themselves. Participants are physically influenced by their involvement, as their wellbeing is enhanced throughout the process. Important relationships are experienced by the orchestra participants and these strengthen to become more meaningful. There are different leadership roles and responsibilities that are essential to the organisation of the community orchestra, which creates a sense of belonging for those who choose to be involved. Members of a community orchestra are motivated by opportunities that foster autonomy and closeness to others. These experiences support participants’ natural tendencies towards psychological and interpersonal integration, revealing the relevance of selfdetermination theory in this study. The orchestra plays an important role in virtuousness and the progress participants make throughout their involvement has great value to them personally. The experience of playing music in a group is meaningful beyond the individual, therefore contributing to an experience of wellbeing. In conclusion, the research reveals that participants experience psychological wellbeing in a community orchestra. This study is the first of its kind in South Africa to investigate this
Dissertation (MMus)--University of Pretoria, 2020.
University of Pretoria
Music
MMus
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13

Clatworthy, J. "Gardening and wellbeing." Thesis, Canterbury Christ Church University, 2012. http://create.canterbury.ac.uk/11182/.

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Section A is a literature review, exploring the psychological theories behind gardening-based mental health interventions and providing an overview of the current evidence to support their use. It builds on the last comprehensive review conducted in 2003, finding that the evidence-base has developed considerably over the past decade but that there is still a need for higher quality research in this field. Section B considers the value of gardening in promoting wellbeing in a non-clinical sample. A qualitative study is presented in which six suburban allotment-holders completed in-depth interviews about their allotment gardening and its perceived impact on their wellbeing. Transcripts were subjected to Interpretative Phenomenological Analysis (IPA). Seven main themes emerged from the data: fundamental importance of food, protection and safety, feeling connected, esteem, pleasure of being in nature, development and values. Parallels were drawn between these themes and Maslow’s hierarchy of needs. While each participant talked to some extent about all of the themes, a different theme was dominant for each individual, suggesting that allotments are flexible environments that may enable people to meet their individual needs, in order to enhance wellbeing. Implications for clinical and community psychology are discussed.
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McLennan, Vanette. "The role of family and community resilience in Indigenous wellbeing." University of Sydney, 2010. http://hdl.handle.net/2123/6237.

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Doctor of Philosophy (PhD)
The alarming rates of ill-health and social disadvantage amongst Australian Indigenous peoples has continued despite improved understanding of the determinants behind these conditions. There appears to be an urgent need to review and re-orientate health and social programs, from a deficit-focused to a strengths-based model, whereby a community’s capacity and resilience is enhanced utilising, and building on, existing strengths and resources. The current study set out to investigate the meaning and role of resilience in the wellbeing of Indigenous Australians. The aim of the study was to examine resilience within an Indigenous context, its potential role in strengthening the Indigenous response to adversity, and the prospective ways in which this may be used in initiatives aimed at boosting health and wellbeing in Indigenous communities. The study involved qualitative in-depth interviews and focus groups within the Indigenous Yaegl community of north-eastern New South Wales. This was achieved through extensive consultation with the community, and a strong commitment to upholding cultural sensitivities and ethical considerations. The data was analysed using a phenomenological framework, involving objective and in-depth thematic analysis, with specific focus on the relationships within the data and their associations with the research questions posed. The study indicates the resilience of the Yaegl community, involving individual, family and community level resilience, involves interdependent protective factors and support structures. The experience of hardship itself, and the ability to employ positive adaptational/coping skills and recruit a variety of protective resources are key to the development of resilience throughout the life continuum. The study demonstrates the importance of these mechanisms not only at the individual level, but also in the resilience of family units and the community. This appears particularly important within the Indigenous context where these levels of functioning are interdependently connected. The study has implications for health and social practitioners looking to broaden their understanding of the Indigenous experience, to one that acknowledges the many existing strengths and protective factors present in Indigenous communities. Practitioners and program developers would benefit from utilising this holistic model of resilience, in which individual, family and community based protective factors play important roles in the prevention of risk and the development of resilience. Programs incorporating this understanding are expected to be more effective in both service delivery and outcomes, because all levels of functioning would be viewed and addressed as interdependent elements in the development of resilience and response to adversity.
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Clavin, Alma Anne. "Wellbeing impacts of sustainably designed community gardens : a capability approach." Thesis, Oxford Brookes University, 2010. http://radar.brookes.ac.uk/radar/items/c1219505-87d3-c8cb-d260-e2fa0130f005/1.

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In early 2011 there were over 1782 community garden sites officially registered with the Federation of City Farms and Community Gardens. In addition to promoting healthy food and healthy eating, many of these sites contain a number of sustainable design features and associated activities. They also claim to deal with value-laden ethical and social issues relating to human wellbeing. In this way they aim to be ecologically sustainable. Using a normative framework for evaluating wellbeing - the Capability Approach - this research reports on the multiple impacts that the design of such spaces may have on the subjective wellbeing of site users. Qualitative research methods of data collection and analysis in five community garden sites in the UK and Ireland were carried out for adult, youth and child users. Results show that although producing a food yield was found to have most impact on wellbeing for all user groups, the overall wellbeing impacts of site activities go beyond physical health and healthy eating, impacting most on capabilities of stimulation, psychological wellbeing and purpose. Two key aspects of site design and associated valued activities - agency and dynamic balance - were found to enhance both the sustainability of the community garden sites and the wellbeing of site users. These are the essence of enhancing wellbeing in the sustainably designed community garden sites. The thesis concludes that not only is there a requirement for new conceptualizations of sustainable design and wellbeing for the urban environment but we also require new methodological approaches to better capture the multi-layered and multidimensional complexities of such spaces within our everyday lives.
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Goss, Janet. "Honouring individuality, creating community : mindfulness-based emotional development and wellbeing." Thesis, Lancaster University, 2012. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.658575.

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With reference to the turn to the self in contemporary Western societies, this study assesses the significance of emotional competence as a means of improving subjective wellbeing. It delineates the key components of the subjective turn and specifies the main outcome as emotional competence, achieved through increased self-reflection and self-awareness. The efficacy of mindfulness practice as a method for improving emotional competence is examined and a programme of mindfulness-based emotional development (MBED) devised, informed by a substantial body of empirical research. Prior to working with thirty-five participants in six discrete groups from a range of work-related contexts, extensive participant observation was undertaken through attendance in a broad range of mindfulness retreats, training, courses and conferences. The resultant one-day course was used to assess the outcomes of participation for the co-researchers. The therapeutic effects are reported quantitatively in terms of psychological wellbeing, physical health and productivity at work, and qualitatively using data from the co-researcher 'diary' accounts. In addition, an autoethnographical account of the researcher's longitudinal experience is elucidated as a method of assessing the significance of the practice for emotional management using a three-fold typology of the sacred, the mundane and the profane. The thesis culminates in a four-phase model of personal development that examines the application of MBED as a means of facilitating eudaemonic wellbeing, through improved intrapersonal and interpersonal communication.
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O'Connell, Christine. "Integrating physical and psychological wellbeing in child health." Thesis, Canterbury Christ Church University, 2016. http://create.canterbury.ac.uk/15004/.

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Research shows that the integration of physical and mental healthcare in paediatric settings is beneficial in terms of clinical and cost effectiveness (Kahana, Drotar, & Frazier, 2008; Douglas & Benson 2008, Griffin & Christie, 2008). Due to the high rates of mental health problems within this population, several studies have shown that referral to paediatric psychology should be increased (e.g. Wagner & Smith, 2007). However, there are few studies investigating factors influencing healthcare professionals’ referral behaviour. The current study used theory of planned behaviour (Ajzen, 1988; 1991) to develop a questionnaire which explores factors influencing the referral of children and families to paediatric psychology. Psychometric properties of the questionnaire were examined. Findings indicate that the questionnaire holds good reliability and validity and that the main constructs of theory of planned behaviour are useful in predicting intention to refer to paediatric psychology. Specific beliefs about referral were also shown to influence intention to refer. Findings that individual referrer factors such as attitudes and beliefs can impact healthcare professionals’ referral behaviour indicates that multidisciplinary interventions and inter-professional education relating to the psychological aspects of illness are required. Recommendations for future research are discussed.
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Bell-Williams, Rebecca. "Spiritual wellbeing and the human-nature relationship : an exploration of the spiritual wellbeing experiences of home and community gardeners." Thesis, De Montfort University, 2016. http://hdl.handle.net/2086/14147.

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In recent years, wellbeing has emerged as a way to describe the holistic health of a population. This thesis explores the premise that spiritual wellbeing, an often neglected and poorly understood dimension of the wellbeing spectrum, may offer a complementary and cohesive element to physical, mental and social wellbeing. Nature-based activities hold promise for developing spiritual wellbeing, but prior research has focussed primarily on wilderness settings. Such spaces are increasingly rare and for individuals living in urbanised areas it is of equal importance to identify the spiritual wellbeing benefits from nearby and everyday nature spaces. As accessible nature spaces, gardens and gardening activity provide an often undervalued opportunity through which individuals can engage with local nature. Gardeners may therefore be able to offer a unique insight into the role that interaction with nature may play in spiritual wellbeing. This study therefore focuses on how spiritual wellbeing may be enhanced and developed through interaction with nature in the context of urban gardens. The study consists of two phases: Phase One focussed on community gardeners and was used to scope the topic and methodologies; Phase Two used semi-structured interviews with 25 gardeners to explore how spiritual wellbeing related to their gardening experiences. Thematic analysis of the data revealed that in the context of gardening, spiritual wellbeing is supported and developed through four key themes of: Contribution, Connection, Awareness, and Being Self, as expressed through a meaningful relationship with An-Other. Previous spiritual wellbeing studies have highlighted the concept of a relationship with the ‘Other’ and wellbeing models often cite human-human relationships as important in developing wellbeing. Findings from the study suggest that interaction with nature, through the partnership activity of gardening, provides a human-nature relationship that may offer equivalent benefits in developing spiritual wellbeing. The findings may offer a novel approach to help address contemporary wellbeing issues, whilst also adding a new significance to the urban garden.
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Mpofu, Jabulani. "Psychological wellbeing of adolescents with physical disabilities in inclusive community settings." Thesis, University of Pretoria, 2016. http://hdl.handle.net/2263/60967.

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The purpose of this study was to explore the psychological wellbeing of adolescents with physical disabilities living in inclusive community settings in Zimbabwe. An inclusive community is one that aims to remove exclusionary practice within the community and promote community's systems that accept all people, regardless of their differences. A constructivist lived experience perspective underpinned this research, in which the researcher used multiple case studies to interact with the participants about their inclusion and psychological wellbeing as adolescents with physical disabilities. The 14 participants (nine males and five females) were purposively sampled. Data was collected through face-to-face interviews. Four themes emerged from the inductive thematic analysis of data sources. It was found that participants in this study were involved in various inclusive community activities available within their communities. The study also found that parent, the government, the community and donor communities were working together towards improving the lives of adolescents with physical disabilities in the communities in which they live. These stakeholders assumed different roles, such as providing disability awareness education, vocational counselling, and inclusive infrastructure and resources. The study also found that the participants encountered environmental restrictions in choosing inclusion activities in which to participate in their communities. The findings of this study have the potential to help the policy makers and researchers in inclusive communities to better understand the needs of adolescents with physical disabilities living in these communities. Furthermore, the current research has the potential to guide future research and develop future initiatives to improve the psychological wellbeing of adolescents with physical disabilities, thus improving their outcomes and quality of life.
Thesis (PhD)--University of Pretoria, 2016.
Educational Psychology
PhD
Unrestricted
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20

Webber, Jo. "Allotment gardening, connectedness to nature and wellbeing." Thesis, Canterbury Christ Church University, 2013. http://create.canterbury.ac.uk/12481/.

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The potential for green interventions to promote mental wellbeing and reduce mental distress is increasingly being recognised (Mind, 2007). Preliminary evidence suggests that allotment gardening activities may have a significant effect on mental wellbeing, but a paucity of research, particularly in non-clinical populations, has been highlighted (Partridge, 2010). A cross-sectional online survey of 171 allotment gardeners was conducted. Measures of subjective wellbeing (quality of life), eudaimonic wellbeing, connectedness to nature and preference for solitude were administered. Qualitative data were also collected through open-ended questions. Allotment gardeners’ scores on measures of environmental quality of life and eudaimonic wellbeing were significantly higher than those reported in the literature, but social quality of life was lower in allotment gardeners. Regression analysis showed that time spent on the allotment during summer predicted eudaimonic wellbeing. This relationship was fully mediated by feelings of connectedness to nature. A relationship was observed between spending time on the allotment and preference for solitude. Four main themes emerged from the qualitative data: allotments provided a space of one’s own, meaningful activity, increased feelings of connectedness, and improved physical and mental health. The results suggest that allotment gardening is associated with increased eudaimonic wellbeing, but not subjective wellbeing (also referred to as hedonic wellbeing). Furthermore, a mechanism through which allotment gardening enhances wellbeing is suggested: increased connectedness to nature. Limitations of the current study and clinical and research implications are discussed.
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21

Feng, X. "Immunodiagnosis of human and canine echinococcosis and community studies in northwestern China." Thesis, University of Salford, 2013. http://usir.salford.ac.uk/29207/.

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Echinococcosis is highly endemic in northwestern China. In order to improve sero-testing in support of community screening and for hospital use, a dot immunogold filtration assay (DIGFA) for rapid serodiagnosis of human CE and AE was developed. DIGFA incorporated four antigen preparations: crude E. granulosus cyst fluid, crude extract of E. granulosus protoscoleces, E.granulosus native antige and a metacestode extract (Em2) from E. multilocularis. The overall sensitivity of DIGFA in a hospital diagnostic setting using archived sera was 80.7% for human CE (n=857 samples) and 92.9% for human AE (n=42 samples). In endemic communities (Qinghe, Hobukersaier, Wenquan, Xinyuan County and Bayanbulak Pasture in Xinjiang; Xiji County in Ningxia; Ganzi County in Sichuan; Dangxiong and Dingqing County in Tibet AR) in northwest China screened for echinococcosis, the sensitivity of DIGFA ranged from 71.8% to 90.7% in comparison to abdominal ultrasound as the gold standard; specificity for CE using AgB was 94.6% and for AE using Em2 was 97.1%. This simple eye-read rapid test was judged useful for both clinical diagnostic supports, as well as in conjunction with ultrasound for mass screening in endemic CE and AE areas. An immunochromatographic assay (ICA) test for rapid E.granulosus antigen detection showed AgB detection in human cyst fluid biopsy samples had a sensitivity of 93.6%. Application of ICA for rapid coproantigen detection in dog faeces, indicated a test sensitivity and specificity generally lower (66.7%) than for coproELISA (72.2%) after 20 days post infection (dpi). A faecal sample time-course from experimental E.granulosus in dogs (n=9) indicated ICA coproantigen detection by 16 dpi and coproDNA detection by 20dpi. Epidemiological results also showed the overall ultrasound prevalence of human echinococcosis was 3.28% (615/18766), with cystic echinococcosis (CE) 2.73% (513/18766) and alveolar echinococcosis (AE) 0.54% (102/18766) respectively. Meanwhile the DIGFA serological positive rate was 22.4% (2388/10684), females had a relative higher seropositive rate (p<0.05). Relative risk factors for human CE were dog and livestock ownership, occupation as herdsman, ethnic groups as Mongolian and Kazakh. Another risk factor for seropositive might be involved with the gender as a female. This research has implications for further development of rapid tests in support of human and canine echinococcosis diagnosis and for surveillance of transmission in China and elsewhere.
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Ntontis, Evangelos. "Group processes in community responses to flooding : implications for resilience and wellbeing." Thesis, University of Sussex, 2018. http://sro.sussex.ac.uk/id/eprint/79752/.

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Oliver, Sue. "Community-based creative dance for adolescents and their feelings of social wellbeing." Thesis, Queen Margaret University, 2009. https://eresearch.qmu.ac.uk/handle/20.500.12289/7399.

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The thesis contextualises creative dance as art in a community setting. The participants were teenage members of a community-run creative dance company. The aim was to explore any links young people make between their creative dance experience in a community class and their feelings of social well-being. The literature gives a brief historical overview of dance as a performing art and of the nature of aesthetics and creativity. It considers the art of dance as a form of communication, and the conditions for creativity to flourish. It looks at Bourdieu‘s (2005) theory of ‗habitus‘ and ‗field‘ in understanding the social experience which the dancers derived through creative dance. Consideration is given to theories and accounts of adolescent development and how community interaction can affect the dancers‘ feelings of social wellbeing. The methodological approach is hermeneutic phenomenology, with influences from ethnomethodology and social constructionism. The ontological principle is that personal meaning is socially constructed. Epistemologically the study is informed by the belief that knowledge is generated through the creative dance experience. The main data collection method was semi-structured interviews with the dancers (n=10), supported by observation of dance classes (n=7; filmed: n=4), group discussions (n=3) and graffiti walls (n=8, completed by the dancers). The data were organised and analysed thematically using a method of presentation inspired by Bourdieu‘s concept of a ‗social trajectory‘ - a lifetime journey of social encounters – offering headings under which the data were loosely organised. Selected observations are presented on DVD. The responses suggested a dance ‗journey‘ from preparation to performance, which allowed further organisation of data. The emergent themes included the dancers‘ motivation for dancing, their feelings about the creative process, experiences of social interaction and of taking control of one‘s own identity, through all the stages of experimenting with movement, refining the dances and performing. The main findings are: the dancers attached importance to company membership because it offered a means to clarifying self-identity through physical and artistic endeavour; the creative dance context gave them freedom to explore their movement capabilities and to interact socially, and thus gave them a means of negotiating their ‗habitus‘, i.e. adopting and adjusting social norms and values on their own terms. Performing was a celebration of achievement and confirmation of identity as a dancer. The study contributes to the understanding of how adolescents make sense of their identity in their social context through their creative dance experience and how that influences their feelings of social wellbeing.
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Kili, Sharon J. "Reconciling elephant and local community wellbeing in Kenya: Identifying good practice management." Thesis, Kili, Sharon J. (2016) Reconciling elephant and local community wellbeing in Kenya: Identifying good practice management. Masters by Coursework thesis, Murdoch University, 2016. https://researchrepository.murdoch.edu.au/id/eprint/60269/.

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Worldwide, human-elephant conflicts result in the destruction of elephant and community well-being. This occurs due to negative interactions between the two species affecting the conservation of elephants in Asia and Africa. Conflict incidences occur frequently near protected areas and have intensified in recent years due to increasing human populations and the expanding agricultural activities they practice. The aim of this thesis is to 1) establish the current status of HEC in Kenya 2) determine whether conflict resolution programs are achieving reconciliation 3) identify challenges experienced in trying to do so and 4) find out what constitutes good practice management. This thesis reviewed literature on the status of the conflict situation on a global and national scale to determine efforts made for conflict management. The focus of this study is on the elephants of Amboseli National Park in Kenya, Africa who are the longest studied elephants in the world but who are in constant conflict with the community. The Kenya Wildlife Service is the authority mandated to protect these elephants but which faces challenges in trying to run conflict resolution programs with the community. A field study was carried out in January 2016 at Amboseli to establish whether conflict resolution programs in place are achieving reconciliation and identify the challenges experienced by the park management in trying to do so. Semi-structured interviews were carried out with 13 individuals comprising of community leaders, KWS managers and NGOs/Associations. The information obtained was analysed and coded according to emergent themes which established that due to several challenges, conflict resolution programs were not proving effective. The study therefore identified good practice management as establishing proper communication channels to create an abundant share of knowledge between the park authorities, NGOs and community and collaborative efforts towards achieving effective reconciliation. Key words: human-elephant conflict, conflict resolution programs, human-elephant conflict management, reconciliation
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White, Susan J. Baldwin. "Performing social work : an ethnographic study of talk and text in a metropolitan social services department." Thesis, University of Salford, 1997. http://usir.salford.ac.uk/14744/.

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The central theme of this ethnographic study is captured in the word play in the title. It is, essentially, an analysis of the social work in social work. With a primary focus on the collegial discourse taking place between 'child care' social workers and managers in a social services department in the North West of England, I have undertaken an analysis of naturally occurring talk, interview data, formal policy and procedure, and written records of action taken (case files and minutes) and action to be taken (e.g. court reports, strategic planning documents). My analytic focus has been upon on the routines and linguistic practices through which `caseness' is accomplished. I argue that, although professional accounts are artfully produced against certain (situated) background expectancies, the 'materials' invoked in such accounts are not entirely local phenomena. That is to say, competent accounts are both locally accomplished and contingent upon available vocabularies. In a search for analytic adequacy, I have drawn particularly upon the temporal and rhetorical 'turns' in the human sciences. Using an unashamedly eclectic approach, I argue that 'imported' materials, such as bureaucratic time, remain malleable and, thus, may be invoked strategically and artfully by social workers in their (narrative) constructions of events and 'cases' and, indeed, themselves - allowing them to reference risk, deviance or normality, for example. However, the possibilities are far from infinite, and the liturgical nature of many encounters ensures that what is most remarkable about organizational life is not its instability, but its predictability.
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Crealey, Grainne. "Remuneration of community pharmaceutical services." Thesis, Queen's University Belfast, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.301733.

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Jewkes, Rachel Katherine. "Meanings of 'community' in community participation in health promotion." Thesis, King's College London (University of London), 1994. https://kclpure.kcl.ac.uk/portal/en/theses/meanings-of-community-in-community-participation-in-health-promotion(b6de367c-b093-4d06-a81b-42bb9746d344).html.

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Sheikh, Ahmad Md Khadzir. "Morbidity study among staff nurses in the hospital services : a comparison between the United Kingdom and Malaysia." Thesis, University of Birmingham, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.391023.

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Coward, Sinclair. "The emotional wellbeing of black and dual heritage looked after young people." Thesis, London Metropolitan University, 2015. http://repository.londonmet.ac.uk/1159/.

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The purpose of this study is to explore how the experience of being looked after impacts on the emotional wellbeing of black and dual heritage young people. Looked after children and young people have been identified as a specific group whose views need to contribute to the development of policy (DfES, 2007). However, studies gaining the views of black and dual heritage looked after young people are limited, thus their needs remain under researched and largely unknown. Guided by the philosophical assumptions and methodological approach of Interpretive Phenomenological Analysis a semi-structured face-to-face interview was conducted with ten (n-10) care experienced black and dual heritage young people. Five (n-5) black and dual heritage social workers who were experienced in working with this demographic were also interviewed. Three superordinate themes were identified from the interpretive analysis: 1) Emotional Unavailability, 2) Ethnicity, and 3) Surviving School. A number of subordinate themes were also identified under each theme. The findings suggest that black and dual heritage looked after young people have additional and different needs from the general looked after population. The young people emphasised a lack of authentically warm relationships with their foster carers and to a lesser extent with their social workers. The findings raise challenging issues for teachers who were experienced by the young people as being insensitive and judgmental. An underpinning concern was the lack of recognition from foster carers of their identities as black and dual heritage young people. In attempting to move towards service improvement the data analysis lead to a number of recommendations for key professionals, local authorities and future research. Underpinning these recommendations is an emphasis on the importance of listening to the voices of this vulnerable group.
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Barrie, Claire Louise. "Exploration of the conceptualisation of mental wellbeing in the Somali community of Birmingham." Thesis, University of Birmingham, 2017. http://etheses.bham.ac.uk//id/eprint/7894/.

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A systemic review and narrative synthesis of the literature on the associations between acculturation and mental health for migrants from the Horn of Africa to Europe. The review uses an integrative framework of acculturation and mental health to scaffold the research. Factors from pre-migration and during acculturation in the host culture all affect the mental health outcome of migrants. The empirical paper presents qualitative research which explores established female Somali migrants' conceptualisation of the term mental wellbeing. Twenty-two participants were interviewed and the transcripts were analysed using a combination of lnterpretative Phenomenological Analysis (IPA) and thematic analysis. The resulting super-ordinate themes were 'risks and rewards of belonging'; 'knowing when there is a problem'; 'drawing strength from outside'; 'knowing who you are and where you are going' and 'fluctuating movement to feeling at home'. The themes build on previous research with the Somali community and suggest the importance of belonging to a community and religion providing guidance and support. The process of migration and navigation of a culturally distinct society, creates erosion of old sources of support and means alternative service provision has to be made accessible to migrants.
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George, Karen. "A complexity approach to the design of wellbeing development in a community context." Thesis, Northumbria University, 2016. http://nrl.northumbria.ac.uk/30329/.

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UK Government calls for more effective ways of communicating and engaging with the community to devolve power and enable local improvements in the concept of the 'Big Society'. Devolved power is often gained through local community organisations. These organisations are being tasked to manage community assets calling for a new breed of skilled community participants. They are under tremendous pressure and this additional stress may have a detrimental impact on individuals’ wellbeing. Community organisations often struggle to attract capable community participants as they compete with the well-known giants of the voluntary sector, who have significant marketing budgets. They need to develop their use of ICT to compete, attract and sustain community participants. When the public consider community participation there are a series of local social interactions that take place, culminating in a tipping point, when they decide to participate. This process is complex with varying sources of information linking into decision making. Coupled with the needs of community organisations necessitates careful management to ensure the wellbeing of both. The aim of this research was to develop a wellbeing themed framework for effective community participation, applying both complexity and design perspectives. This has repeatedly been highlighted as an area of need and yet still no real answer has been found to offer the public a process that supports the development of wellbeing whilst creating tipping points for community participation. The research started with a literature review followed by open interviews of experiences and a separate analysis of spiritual reflections to develop and clarify themes for the wellbeing semi-structured interviews. The interview process involved reflection, Mindsight and Mindfulness of each themed area to rate where participants felt they were at that point in time, where they wanted to be and what actions they could have taken to get there and when. An international evaluation was completed to add qualitative and quantitative information to the research, validate the process and understand beneficial language. This was followed up with refinements from the literature. The evidence demonstrated the effectiveness of the wellbeing process with designed tipping points for community participation. The community sector can exploit this research for their benefit, offering well-fitting roles for career development of young people, unemployed, retired or ill health recovery. The contribution to knowledge acquired is the development of a sustainable, effective, efficient and time saving wellbeing framework and process for online communication mediation for wellbeing in a community participation context.
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Schaaf, Rebecca May. "Developing as one : community groups in the construction of wellbeing in northeast Thailand." Thesis, University of Bath, 2007. https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.440369.

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Renberg, Tobias. "Patient Perspectives on Community Pharmacy Services." Doctoral thesis, Uppsala universitet, Institutionen för farmaci, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-108392.

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Community pharmacy practice is changing, putting a greater emphasis on patient involvement and empowerment than on physical drug products. Developing practice philosophies, such as pharmaceutical care, are operationalised through an ever-evolving service proliferation. There is, however, a paucity of studies addressing the patients’ subjective perceptions of pharmacy services. The few studies that measure the impact of pharmacy services on humanistic outcomes show little or no effect. This might be due to the services, or the assessment instruments used. The aim of this thesis was to enhance the understanding of how patients perceive community pharmacy services, their preferences for community pharmacy services, and how these services could be evaluated from the patient perspective. This was done by: 1.exploring patients’ perceptions of an existing pharmaceutical care service using in-depth interviews; 2. exploring patient preferences for the ideal pharmacy visit using Q methodology, and characterising those patient groups that have different preferences and; 3. testing the validity of the Swedish version of the Pharmaceutical Therapy-Related Quality of Life (PTRQoL)-instrument, using think aloud methodology. Patients had vague, and sometimes erroneous, understandings about a pharmaceutical care service that they were currently receiving. They reported that the service had increased their feeling of safety, enhanced their knowledge, provided drug treatment control, and empowered them. Seven different viewpoints of the ideal pharmacy service were identified, which could be broadly divided into two groups, those emphasising the physical drug products as central to the encounter and those seeking a relationship with the pharmacist. Some differences between the group characteristics were identified, but not specific enough to guide individualised care practice. Several problems with the validity of the PTRQoL-instrument were detected. Overall, the thesis has highlighted various aspects of patient perspectives on community pharmacy services that could be used for the development andassessment of such services.
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Chapman, Paul Eugene. "Multiple Community Services: One Family's Experience." Diss., Virginia Tech, 1999. http://hdl.handle.net/10919/29813.

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The family support movement in the United States has its roots in the early years of the 20th century when progressives like Jane Addams worked to improve the lives of disadvantaged children and their families. Family support today is provided by multiple public and private agencies. How families experience these services is not well known. Such information could help service providers give meaningful support to those in need.This is a case study of how one family experienced the receipt of multiple community services. The family lived in Virginia, and four family members participated in the study. The family consisted of Elizabeth, the matriarch, age 39; Allen, third husband of Elizabeth, age 30; Bradley, middle son of Elizabeth, age 16; and Benjamin, youngest son of Elizabeth, age 14. Elizabeth's eldest son C. C., age 18, did not participate in the study.The services received by the family were focused on Elizabeth, a childhood victim of parental abuse and a cancer survivor, and Bradley, who was identified with attention deficit hyperactivity disorder. Bradley was a resident in a wilderness program for at-risk boys. The wilderness program was partially funded by the Virginia Comprehensive Services Act.The study had four purposes: (1) to inform policy makers about how families are affected by policy decisions on issues pertaining to families, (2) to influence the decisions of policy makers, (3) to add to the definition of quality family support, and (4) to provide information useful to educators and service providers in developing programs for at-risk children and families.Data sources were observations of, and interviews with, family members. Data were analyzed with the constant comparative method as described by Maykut and Morehouse (1994). The analysis and findings are presented in a narrative report.
Ph. D.
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Simonson, Toni Lee. "The evaluation of comprehensive community services." Online version, 2000. http://www.uwstout.edu/lib/thesis/2000/2000simonsont.pdf.

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Grosová, Veronika. "Podnikatelský plán založení společnosti specializující se na digitální wellbeing." Master's thesis, Vysoké učení technické v Brně. Fakulta podnikatelská, 2020. http://www.nusl.cz/ntk/nusl-416827.

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The master’s thesis is focused on the creation of a viable business plan for establishing a new company offering a digital wellbeing service. Firstly, the theoretical framework is created and subsequently utilized to define and verify the main idea by its qualitative research using the Lean Canvas method and to carry out further analyses of general, market and internal environment. Secondly, based on the results of the validation and analysis of the business environment, a suitable strategy and business model are selected. This business model is developed into the structure of individual parts of the business plan.
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Darvill, Angela. "A qualitative study into the experiences of newly qualified children's nurses during their transition into children's community nursing teams." Thesis, University of Salford, 2013. http://usir.salford.ac.uk/29369/.

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This thesis provides an analytical account of a qualitative research study into the experience of eight newly qualified children’s nurses during their transition into children’s community nursing teams in the North West of England. The study took place at a time when the recruitment of newly qualified children’s nurses into U.K. children’s community nursing teams was not only a new professional endeavour, but one that met with some resistance due to the prevailing attitude that the community was an inappropriate first post destination for them. The transition experience of their contemporaries, whose first post was within hospital based services, has been well researched. Indeed the resulting notion of “reality shock” led to major changes in clinical practice. However, little research attention has been paid to the experiences of transition of those who take up first posts in the community. The findings indicate that there were factors that both facilitated and hindered the development of their professional identity as children’s community nurses. Of significance is that the participants did not report the shock like reactions described by their contemporaries in acute hospital based settings. They described an ideal transition experience as one which included a period of lengthy and consistent support, the allocation of contrived workloads and continued support during independent visits. However, this ideal experience of transition was often disrupted through circumstances such as perceptions of being undervalued, lack of colleagues’ acknowledgement of the value of their undergraduate learning experiences and the allocation of complex cases requiring skills and knowledge beyond their competence level. The notion of an ideal experience of transition which accommodates individual differences during transition as described in this thesis offers a pragmatic solution to other children’s community nursing teams seeking to ease the transition experience of newly qualified children’s nurses. It also challenges the assumption that they are an inappropriate first post destination for newly qualified children’s nurses.
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CHANDRAN, DEEPA. "Transportation inclusion and community wellbeing: exploring public transit accessibility of Winnipeg's North End neighbourhoods." Not applicable, 2017. http://hdl.handle.net/1993/31978.

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Analyzing public transit accessibility to marginalized communities is critical to exploring the link between transportation inclusion and wellbeing in automobile-centered cultures. This study is an attempt to examine public transit accessibility to Indigenous residents in Winnipeg's North End. Apart from analyzing the current level of transit accessibility, the study explores barriers that hinder the use of public transit in the North End and examines strategies to improving transit accessibility to its residents. This study adopts a holistic approach to understanding 'accessibility' and recognizes the importance of socio-economic, perceptional, and demographic factors in shaping the demand for transit facilities in an area. Findings of the study illustrate the need to include transportation inclusion as an essential component of the urban Indigenous welfare policies in the country. The lessons learned will also provide an initial framework to understand the link between community wellbeing and transportation inclusion of other socio-economically vulnerable communities.
February 2017
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King, Helen Paula. "People in nature and nature in people : a constructivist exploration of ecosystem cultural services." Thesis, Cranfield University, 2012. http://dspace.lib.cranfield.ac.uk/handle/1826/7627.

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The ecosystem services approach is a set of institutional practices which aim to improve natural resource management and policy making, by highlighting the relationship between well-functioning ecosystems and human wellbeing. Within the approach, cultural services (CS) signify the psycho-social aspects of people-nature interrelations. This concept is an understudied area, and is recognised to exhibit high levels of complexity which make it difficult to evaluate. This thesis deconstructs, explores, clarifies and enhances the CS concept. A flexible, phased research design explores cultural services in relation to a specific case-study site, 'Aspley Woods and Heaths' (England). Cultural services are examined through a series of lenses: as an interdisciplinary construct, as an experience of place, as context, as a resource regime, as a discursive resource and as a personal discourse. Mixed qualitative methods identify how CS is constructed through action, speech and text; via an in depth analysis of primary data from semi-structured visitor and expert interviews, unstructured key informant interviews, and marginal participant observation. Additional data informs the enquiry, from a discourse analysis of key study site documents, and a review of site-related historic, ecological, land management, and policy documents. Results from this thesis subsequently challenge the current published definition and subcategorisation of cultural services. The notion that cultural services are nonmaterial is disputed due to the centrality of physical activities, physical sensations, and access management regimes which require material inputs. The benefits premise is challenged since CS experiences included references to anxiety, injury and conflict. The notion that CS are obtained is disputed due to the reciprocal nature of information exchange between people and features of the environment. The idea that CS are solely from ecosystems is challenged due to the part played by interpretative socio-cultural contexts, and natural and social processes which occur outside site boundaries and specified time frames. Instead, this thesis recommends that cultural services be redefined as the ways that humans use discourse to construct and communicate perceptions of nature. CS arise from processes of interaction (activities) and reciprocal information exchange (information functions) with ecosystems. CS subcategories are hence a series of cognitive, retrospective, intuitive, creative, communicative and regenerative interpretative repertoires, which form the basis of social practices such as designation, restoration and policy. The propensity of environments to embody discourse is concluded to be crucial in defining what is valuable about natural ecosystems, and how these contribute to wellbeing.
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Anderson, Claire Wynn. "Health promotion by community pharmacists." Thesis, King's College London (University of London), 1997. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.299776.

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Tomintz, Melanie Natascha. "Modelling Location of Community Based Health Services." Thesis, University of Leeds, 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.494255.

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Beecham, Jennifer Kate. "Community mental health services : resources and costs." Thesis, University of Kent, 1996. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.319222.

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Tofowomo, Funmi Stella. "Quality of services at community correction facilities." CSUSB ScholarWorks, 1996. https://scholarworks.lib.csusb.edu/etd-project/1244.

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An effort to investigate the quality of services at community correction facilities from the perspective of both inmates and staff led to the proposition of four hypotheses. These hypotheses were formulated to show the relationship between key independent variables, such a facility type, time at facility, age, ethnicity, educational level, and dependent (outcome) variables, which included inmate's and staff's views of privacy, safety, rules and regulations, and crowding at these respective facilities.
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Liew, Theresa Chow Wah. "Rising to the challenge: towards enhancing the wellbeing of an urban community in New Zealand." Thesis, University of Auckland, 2011. http://hdl.handle.net/2292/6984.

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This thesis is about improving the mental health, wellbeing and quality of life of the people of an urban, diverse and disadvantaged community in Auckland, New Zealand. It was an attempt to facilitate greater connectedness and solidarity within that community so that they would be empowered to act together to achieve common goals. The theoretical aspect of this study was motivated by the aspirational philosophy, principles and values articulated in the population mental health promotion (PMHP) paradigm. PMHP advocates trusting the innate resourcefulness of people to create supportive environments where individual and collective resilience may be realised. The practice aspect of this study involved using a people-centred planning and evaluating procedural framework, the PEOPLE System, to establish and begin to evaluate a community-controlled community development project with the aim of enhancing the mental health and wellbeing of the whole community. This was done initially with a number of small Asian groups and later was extended to encompass the whole community. A central part of this second stage was a random household survey, to enable the people to identify their collective goals and priorities and to initiate actions to attain them. The results indicate that the PMHP theoretical paradigm is a very workable one and that the PEOPLE System provides an effective practical guide within this paradigm. This particular combination of theory and practice is proposed as constituting a new approach, named the PMHP Model. This thesis makes a unique contribution to existing knowledge by showing that the PMHP Model can be applied to a whole urban community and appears to be a highly promising approach to the enhancement of the mental health and wellbeing of that population. Because of the scale of the project, and the limited time frame of this study, it was not possible to apply the whole of the PEOPLE System; so any conclusions are tentative; however, the indications are that it is an approach that can meet the overall PMHP aims and can potentially be applied in many other communities in New Zealand and perhaps the world.
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Challis, S. "Maximising impact : connecting creativity, participation and wellbeing in the qualitative evaluation of creative community projects." Thesis, Coventry University, 2014. http://curve.coventry.ac.uk/open/items/53a3eb2f-401e-40bc-b530-115428d1b7d6/1.

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The evaluation of creative participatory community projects remains a controversial issue in politics, policy and the arts, its focus sharpened by the reality or rhetoric of austerity. Despite the recent plethora of policy documents and reviews there is little consensus about how projects should be evaluated or what constitutes good evidence about the impact on individual and collective wellbeing of ‘being creative’. This research set out to develop and trial feasible and effective evaluations for small to medium sized projects in the West Midlands of the UK based on field research into how impact is produced. Through mainly qualitative research in diverse contexts it was able to identify a range of conditions in projects reflecting the interrelationship of creativity and participation in which positive impact could be maximised. The research sought to theorise the impact of these conditions using elements of Actor Network Theory and Freire’s concept of praxis, concluding that impact is likely to be incremental, partial and non-linear. Central to this theorisation was the synthesis of evidence about the impact of creativity and embodied making on thinking, affect and a sense of agency, with ideas about how people change, producing a new evidence-based theory of change. In a practice-led approach, new creative methods were trialled in which data produced by participants had aesthetic as well as communicative value and the evaluation process itself contributed to positive impact. While it was possible to evaluate aspects of this impact through episodic interventions, field trials showed that it was more effective to develop a systemic evaluation strategy. Such a strategy needed to be participatory and integrated into project planning, in order to respond to the stochastic systems creativity inevitably provokes. This proved to offer two advantages: the potential to engage many stakeholders, not just as respondents but also as agents actively defining and measuring evaluation outcomes; and the potential for reflection about impact as process rather than outcome. These findings were then implemented in a number of projects, including trials of the Arts Council UK’s developmental Children and Young People’s Quality Principles. The method has been identified as ‘improving the conversation’ amongst partners, stakeholders and artists who can re-position themselves as active agents of evaluation rather than mere respondents, using the tropes, practices and materials of their own professional practices.
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Hariri, Shapour. "Multimedia health promotion in community pharmacy." Thesis, King's College London (University of London), 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.301212.

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Rogers, Philip John. "Patient medication records by community pharmacy." Thesis, University of Bath, 1993. https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.357290.

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Sen, Keya. "The Relationship between Social Isolation and Wellbeing in Older Adults." Thesis, University of North Texas, 2020. https://digital.library.unt.edu/ark:/67531/metadc1707364/.

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This dissertation contributes to research on social isolation in older adults aged 65 years and above through three essays that expand our understanding of the social determinants of health and identify the social and interpersonal factors that contribute to elderly wellbeing. This dissertation examines the significant factors contributing to the problem of social isolation, and how the availability of interest-based, low-cost engagement resources in the community can alleviate social isolation and foster healthy aging. Essay 1 is a systematic literature review with implications for future research that explores how technological skills and training based on user intention and availability of resources can alleviate social isolation. Essay 2 is a qualitative study that evaluates the effectiveness of a unique community-based senior exercise program in fostering social integration and in reducing social isolation. Essay 3 is a quantitative study that examines the magnitude and direction of the correlated relationships among the determinants of social inclusion and the impact of social and interpersonal processes on senior wellbeing. These three essays provide insight into the social isolation phenomenon that negatively impacts senior wellbeing and recommends solutions derived from a data driven examination of the problem that is especially applicable to economically disadvantaged senior communities. Moreover, this research provides community partners and gatekeepers a foundation for future research on the social isolation phenomenon and strategies for developing digital confidence and mobility program strategies that foster social inclusion and reduce social isolation for older adults.
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49

Bradley, Dominique K. F. "The 'Productive Community Services' programme : implementing change in a community healthcare organisation." Thesis, University of Essex, 2015. http://repository.essex.ac.uk/15475/.

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The Productive Community Services (PCS) is a change programme which aims to engage frontline healthcare staff in improving quality and productivity. PCS draws on tested improvement methodologies such as Lean, however there has been little research specifically carried out on PCS in practice. The aims of this study were to explore the perceptions of the healthcare staff that implemented the programme, to identify the enabling and constraining contexts of the programme’s mechanisms of change, and to examine the meaningfulness and reliability of quantitative data generated during a PCS implementation. It also sought to explore the implications of these findings for managers, implementation teams, and commissioners in healthcare. To achieve this, an implementation of PCS was investigated using methods of participant observation, analysis of qualitative and quantitative data, semi-structured interviews and a focus group. A mixed methods approach was taken using the principles of Realist Evaluation. The results indicate that perspectives of the implementation varied widely, and that pay-for-performance targets contributed towards staff perceiving that the programme was irrelevant. Stock value was reduced by over £42,500, the time taken to find patient information was reduced by 62%, and services spent on average 36% of their time with patients. However, these figures lacked reliability and meaningfulness as the data were not validated or were produced using apparently flawed experimental designs. Contexts that constrained or enabled the mechanisms of change included staff attitudes, available resources, the effectiveness of communication, and whether technology could be used to resolve problems identified. The findings indicate that managers in healthcare should challenge implementation teams if the purpose of an innovation is unclear, that implementation teams need to be equipped with knowledge about technological solutions to efficiency in healthcare, and Commissioners need to ensure that pay-for-performance targets promote continuous quality improvement rather than temporary solutions.
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Amador, Karina, and Natalie Salas. "MENTAL HEALTH SERVICES IN AN EXCLUSIVE LATINO COMMUNITY VERSUS A DIVERSE COMMUNITY." CSUSB ScholarWorks, 2019. https://scholarworks.lib.csusb.edu/etd/878.

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This study examined whether Latino immigrants’ community environment influenced perceptions about the meaning of mental health and accessing mental health services. The two environments analyzed in were an exclusively Latino community (primarily Latino members) and a diverse community (composed of different ethnicities including Latinos). The research method used in this study was a qualitative survey design. A semi-structured interview guideline with questions on the meaning of mental health, mental health services access, and community norms on mental health was utilized with 24 respondents. Responses were then analyzed to find themes. Findings from this study found similarities as well as differences in the two groups in seeking mental health services. Differences were more commonly in the details of the responses rather than in the themes of the responses. The finding will help social workers, who provide a large percentage of mental health services, understand the individual, the barriers, and the importance of social environments in seeking mental health services.
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