Tesis sobre el tema "Associated Friends of the People"
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Brooks, Rachel Mary. "Friends and futures : young people, their friends and their higher education choices". Thesis, University of Southampton, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.250037.
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Wheelock, Jess (Jessica Therese). "How to win friends and influence people". Thesis, Massachusetts Institute of Technology, 2010. http://hdl.handle.net/1721.1/59208.
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Thesis (S.M.)--Massachusetts Institute of Technology, Dept. of Architecture, 2010.Includes bibliographical references (p. 101-104).
My thesis work developed out of a specific book: How to Win Friends and Influence People by Dale Carnegie. The book is one of the best-selling self-help books of all time. Every part of the book was material for my project: The words. The author. The style. The physical object. I also use myself, the reader as a material. These materials can be manipulated like paint or clay or wood. But materials have limitations and resistances. That's what makes the whole thing interesting. In fact, it was my material resistances - my shyness, my nervousness - which led me to begin working with How to Win Friends and Influence People in the first place. My thesis project, How to Win Friends and Influence People is an animation and series of sculptural props that examines Dale Carnegie's book. The written thesis will explore notions of performance, humor, anxiety, and the self as they appear in this project and my previous work completed here at MIT. It will also explore my art in more general way. What is my process as an artist? How do I make decisions? Who do I make them for? And here it is. I hope you like it.
by Jess Wheelock.
S.M.
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Winn, Sharon A. "Friends of the people chartists in Victorian social protest fiction /". Access abstract and link to full text, 1989. http://0-wwwlib.umi.com.library.utulsa.edu/dissertations/fullcit/8913882.
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Bridges, Brittanee. "Is Keeping Secrets from Friends Associated with Adolescent Depression and Behavior Problems?" ScholarWorks@UNO, 2012. http://scholarworks.uno.edu/honors_theses/8.
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Secrecy is a growing topic of interest in research, but little research has been done on adolescents keeping secrets from their friends. The purpose of this study was to find out if keeping secrets from friends was related to elevated depression and more behavior problems. The data in this study were obtained from 197 adolescents who were interviewed the summer after their 6th (n = 182, M age = 12.4, SD = 1.01) grade school year in southern Louisiana. This sample was 50.8% female, and the majority of the adolescents self-identified themselves as being white, non-Hispanic (47.7%) or African American (46.7%), while few self-identified themselves as being of other ethnicities (6.1%). Results showed that keeping secrets from friends is associated with higher levels of depression but not with more behavior problems. Keeping secrets from friends accounted for unique variance in depression after controlling for keeping secrets from parents. Secrets from friends accounted for the association between low friendship quality and depression. The link between secrets from friends, depression and behavior problem was not moderated by friendship quality and depression.
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Sykes, Michelle. "An Evaluation of the FRIENDS program : A Therapeutic Intervention for Anxious Young People". Thesis, University of Exeter, 2009. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.503424.
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The rise in mental health issues in children and adolescents in the U.K has increased the need for evidence based therapeutic interventions. The focus of the research in this thesis was to contribute towards the growing evidence base for effective cognitive-behavioural therapy (CBT) interventions suitable for young people which could be delivered in school settings. This research specifically aimed to evaluate a manual based intervention to address anxiety in young people. The 'FRIENDS for Youth' (Barrett 1998) program was chosen for its existing success in Australia and its strong roots in CBTtheory. The underlying theory behind CBT links back to Bandura's (1986) Social Cognitive Theory. This theory outlines that human behaviour is determined by the reciprocal interaction of three factors; cognitive, behaviour and the environment. Social Cognitive Theory places a strong emphasis on cognition and suggests that an understanding of the cognitive process involved can lead to behaviour being predicted, understood and changed. Bandura (1986) postulated that individuals hold a self-system that provides them with a degree of control over their own thoughts, feelings and actions. Bandura theorised that it was this self-system that contained the cognitive and affective structures and allowed for individuals to learn through observation, plan alternative strategies, regulate and change behaviour and engage in self reflection. Based on this theory, CBT follows the idea that understanding, recognising and restructuring individual cognitions can lead to changing behaviours. Bandura (1986) also felt self reflection was an important component in behaviour change as it led people to evaluate their experiences and alter their own thought processes. These self evaluations include perceptions of self efficacy Le. a person's beliefs about personal competence. Beliefs of efficacy verify the level of effort a person will make in a difficult situation, how long they will persist in overcoming barriers and their level of resilience in facing adverse situations. Greater levels of self efficacy predict greater levels of effort, persistence and resilience. Social cognitive theory also suggeststhat perceived self efficacy plays a central role in anxiety arousal. In threatening situations, perceived coping inefficacy results in high levels of anxiety and distress with anxiety arousal and avoidant behaviour being co-effects of the perceived inefficacy (Bandura, 1989). Even more interesting and indeed of relevance to the research being proposed is Bandura's (1989) notion that efficacy beliefs also influence individual's thoughts processes and emotional reactions. Low levels of self efficacy suggest there is a belief that things are tougher than they actually are which in turn fosters feelings of stress, anxiety and depression which in turn narrows the ability to problem solve. The most effective way to develop self efficacy is to create a strong sense of efficacy through mastery of experiences which are structured to build coping skills and instil beliefs that one can have some control over the situation. Smith, Arkoff & Wright (1989) reported that perceived efficacy predicted improvements in performance and reduced anxiety in his sample of highly anxious students. Bandura, Adams & Beyer (1977) suggested that the impact of therapy upon behaviour change is mediated by the extent to which the individuals acquire the belief they can perform the behaviours to which the therapy is orientated. With that in mind, the focus of this research is to assess the effects, experience and effectiveness ofthe FRIENDS program when used as a targeted therapeutic intervention in a secondary school for a small group of self selected young people with anxiety. Paper 1 focuses on the summative evaluation, looking at the outcome effects the FRIENDS program has on participant's levels of anxiety, self efficacy and well being whilst Paper 2 focuses on the more formative evaluation. This paper looks at the young people's lived experience of the intervention and the meanings and value they placed upon the experience. Together, the results of the research from these two papers allows for an overall evaluation of the FRIENDS program to be made which builds upon the earlier work of Barrett (1998) and the existing success of the FRIENDS program as demonstrated in the Australian literature. The findings of this research not only extend the evidence base towards the impact FRIENDShas on its users but also considers the social validity of the program through examining the users' perceptions of the program. Furthermore, the findings contribute towards discussion regarding the impact the program has and the value of the intervention as a therapeutic intervention which could be used in secondary schools in the U.K. The results of this study found significant reductions in anxiety levels using pre- and postcomparisons. Greatest differences were found for social anxiety, generalised anxiety and oeD. Lasting changes to anxiety levels were maintained at follow up. An increase in social self efficacy was also found although these changes were not found to be significant. No significant changes were found for well being. Significant themes found from the qualitative analysis show that the young people placed value upon the friendships they formed during the intervention, the positive changes they saw in themselves which they attributed to the FRIENDSprogram and the usefulness of the new skills they developed as part of the program. The results of the focus group suggested a high social validity of the FRIENDS program from the participant's direct experience. Together, these findings provide evidence of a wider impact of success that was measured by the outcomes alone in paper 1.The research outlined in this thesis discusses the findings of the two phase evaluation and gives consideration to future direction and areas for further research. Lastly, questions are raised about the role of the educational psychologist and the delivery of therapeutic interventions. This research will be of benefit to educational psychologists and other professionals working with children and young people as a way of raising their awareness of mental health in young people and strengthening the evidence base for FRIENDSas a therapeutic program to be used in practice. Although this research was very small scaled, the findings have made a start at outlining some of the benefits for the use of the FRIENDS program in schools to reduce anxiety. These findings could also be used to contribute towards the development of policy and practice regarding the way anxiety is managed within schools and the accessibility of therapeutic type interventions available to school settings.
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Henry, Craig. "Equipping single adults with relational life skills at First Friends Church of Canton, Ohio". Theological Research Exchange Network (TREN), 2002. http://www.tren.com.
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Sands, Gina. "Environmental factors associated with falls in hospitalised older people". Thesis, Loughborough University, 2013. https://dspace.lboro.ac.uk/2134/12328.
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INTRODUCTION: Older people are a vulnerable population for falls and the risk may be increased by unfamiliar hospital environments. Using a mixed method ergonomic approach to acknowledge the complexity of contemporary hospital environments, this thesis aims to explore the associations between patient characteristics and environmental causal factors of in-patient falls for older people. METHODS: A series of three exploratory pilot studies were carried out, followed by two large scale research projects using nationally collected data from patient incident reports and overnight bedrail audits. The mixed method approach included; secondary data analysis, interviews, surveys, and audits. MAIN FINDINGS: 1. Patients in care of older people wards have different characteristics compared to same age peers in other wards, with higher levels of frailty and confusion. 2. Bedrail use was found to rise with increasing level of confusion which is against general guidance. Staff rationales for bedrail use suggested an underlying intent to restrain confused patients. 3. Up to 92% of patients falls were reported to be un-witnessed. This may be explained by only 24% of patient beds being visible from nursing stations. 4. There were significant differences found in the fall locations between patients who were described as frail and those who were described as confused. CONCLUSION: Patients in care of older people wards have a different set of characteristics compared to same age peers in other wards. This suggests that they will have different requirements for fall prevention in terms of layout, visibility, equipment use and facilitating independence. Further research should focus on designing wards for care of older people patients which improve visibility, layout and way-finding to toilets and investigate whether these design improvements will facilitate independent movement and prevent patient falls.
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Gutiérrez, Quintanilla José Ricardo y García Cecilia Beatriz Portillo. "Criminal violence associated to mental health in Salvadorian people". Pontificia Universidad Católica del Perú, 2014. http://repositorio.pucp.edu.pe/index/handle/123456789/99926.
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This is an ex post facto study with a retrospective and cross sectional design, consisting of a random sample of 1,143 participants (538 men and 605 women), age range 17-56 or more. The measures used involved the Escala de estrés y ansiedad delincuencial, and the Cuestionario de salud general. Results revealed that approximately three fourths of the simple considered that the criminal violence context affected their mental health. Differences between men and women were established. Women and urban residents exhibited a greater number of stress symptoms and criminal anxiety. Recommendations for future studies are suggested.El presente es un estudio expos facto con un diseño retrospectivo y transeccional, que consideró una muestra probabilística de 1,143 personas (538 hombres y 605 mujeres) con un rango de edad entre 17 y 56 años o más. Los instrumentos de medida fueron la Escala de estrés y ansiedad delincuencial, y el Cuestionario de salud general. Los resultados revelaron que aproximadamente las tres cuartas partes de la muestra consideró que el contexto de violencia delincuencial afectó su salud mental. Existen diferencias entre hombres y mujeres. Las mujeres y los residentes urbanos presentaron mayor número de síntomas de estrés y ansiedad delincuencial. Se sugieren recomendaciones para estudios futuros.
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Wiltz, James P. "Identifying factors associated with friendship in individuals with mental retardation". The Ohio State University, 2005. http://rave.ohiolink.edu/etdc/view?acc_num=osu1122928929.
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Glorney, Emily. "How not to win friends but influence people : an investigation into interpersonal style amongst violent offender populations". Thesis, University of Surrey, 2005. http://epubs.surrey.ac.uk/844658/.
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Interpersonal violence is a persistent social problem which continues to present a challenge to service providers to develop treatment to target offenders' needs and to reduce recidivism. By exploring how an individual's characteristic interpersonal style relates to offending behaviour we can begin to understand more about the motivations and functions of violent behaviour. Employing a correlational design, this thesis applied an interpersonal theoretical framework to interpersonally violent behaviour, explored the relationship between trait aggressiveness and state violence, and explored differences in interpersonal style amongst groups of violent offenders and non-offenders. Three samples of British males were generated (336 non-offenders, 120 prisoners with convictions for violent offences, 56 mentally disordered violent offenders), all of whom completed a series of self-report questionnaires; Inventory of Interpersonal Problems-Circumplex Scales (IIP-C), Aggression Questionnaire (AQ), General Perceived Self-Efficacy, Inventory of Interpersonal Reactivity Index, Psychological Estrangement. Using the IIP-C, a circumplex structure was generated within which to explore differences in interpersonal style between groups and to locate violent behaviour. Offender groups reported the highest levels of interpersonal problems on the 'Vindictive/Self-Centred' and 'Cold/Distant' IIP-C scales, and 'Physical aggression' and 'Hostility' scales of the AQ. Three IIP-C scales discriminated between groups of offenders with differing histories of interpersonally violent offences, indicative of some level of homogeneity of interpersonal style within offence-related groups. Exploration of the inter-relationships between the IIP-C and the AQ indicated that aggressive behaviour serves an implicit communicative function, related to a range of interpersonal styles. Results indicate that the Interpersonal Circumplex is a useful model for contributing to our understanding of interpersonally violent behaviour. Furthermore, the self-reported higher levels of both trait aggression and specific interpersonal problems amongst some violent offenders suggest that a focus on interpersonal style in conjunction with criminogenic need might be a complementary approach to the treatment of violent offenders.
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Springman, Luke. "Comrades, friends and companions : utopian projections and social action in German literature for young people, 1926-1934 /". The Ohio State University, 1988. http://rave.ohiolink.edu/etdc/view?acc_num=osu1487587604133714.
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Clarkson, Sondra J. "Older adults' food choices associated with cardiovascular health /". View online, 2007. http://repository.eiu.edu/theses/docs/32211131498843.pdf.
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Mullins, Beth Young. "Examining aspects of motivation associated with exercise in older adults". Laramie, Wyo. : University of Wyoming, 2008. http://proquest.umi.com/pqdweb?did=1605135201&sid=1&Fmt=2&clientId=18949&RQT=309&VName=PQD.
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Beal, Georgiana Kathleen. "Habit does the work of reason, the constitution of community between people diagnosed with schizophrenia and their friends". Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp05/nq26634.pdf.
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Hanson, Christine Dawn. "Memory appraisals by older people : associated factors and spousal relationship quality". Thesis, University of Hull, 2010. http://hydra.hull.ac.uk/resources/hull:3476.
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Peyton, Jacqueline. "Psychological factors associated with adherence to antihypertensive medication in older people". Thesis, Lancaster University, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.418503.
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Horn, Bryon G. "Balance factors associated with telescoping walking poles use by older people". Virtual Press, 2003. http://liblink.bsu.edu/uhtbin/catkey/1279112.
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The purpose of this study was to determine the extent to which a novel assistive device improved two dimensional base of support (BOS) as compared to unassisted walking. Telescoping walking poles (T poles) are designed to allow a gait pattern more closely resembling unassisted gait and provide enhanced stability. Nine healthy male and female subjects who had no recent lower extremity pathology or surgery and were between the ages of 59 and 78 were recruited from the community to participate. Subjects were instructed to use the T poles in a consistent manner and were monitored through weekly supervised training sessions. At the conclusion of the study, motion analysis was performed using video collected from six cameras. Subjects were adorned with reflective markers on the toe and heel of their shoes as well as the tips of the T poles. These markers were used to define the BOS. Two dimensional analyses revealed a significant increase in base of support, an average of 316% over the entire gait cycle as well as 531% at heel strike and 126 % at toe off with the T poles. These results support the T poles as an effective intervention in enhancing stability in an elderly population of recreational walkers.School of Physical Education
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Wiltz, James. "Identifying factors associated with friendship in individuals with mental retardation". Connect to resource, 2005. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1122928929.
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Thesis (Ph. D.)--Ohio State University, 2005.Title from first page of PDF file. Document formatted into pages; contains x, 159 p.; also includes graphics. Includes bibliographical references (p. 148-159). Available online via OhioLINK's ETD Center
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Oguegbu, Adaeze. "Factors Associated with HIV Counseling and Testing Among Young People in Nigeria". ScholarWorks, 2015. http://scholarworks.waldenu.edu/dissertations/1572.
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The use of human immunodeficiency virus (HIV) counselling and testing (HCT) is a necessary component of implementing HIV prevention and control programs in Nigeria. Knowledge, acceptance, and use of HCT remain low in Nigeria, especially among young people ages 15 to 24 years. The purpose of this study was to ascertain how sociodemographic factors (i.e., gender, place of residence, level of education, geopolitical zone, and socioeconomic status [SES]); cognitive factors (i.e., HCT awareness, knowledge of HIV prevention, and knowledge of HIV transmission); and knowledge of sexual risk behaviors affected HCT uptake among young people in Nigeria using data from the 2013 National HIV/AIDS and Reproductive Health Survey Plus. The study was guided by the social cognitive theory. The sample was composed of 10,091 young people ages 15 to 24 years from all geopolitical zones, SES, and educational backgrounds in Nigeria. Multiple regressions and multivariate comparisons revealed a significant relationship between HCT awareness and HCT uptake (p < .001) and between knowledge of HIV prevention and HCT uptake (p < .001). Sociodemographic variables of gender, place of residence, level of education, geopolitical zone, and SES were also significantly associated with HCT uptake. The sexual risk behavior variables tested were not significantly associated with HCT uptake among young people in Nigeria. The implications for positive social change include providing public health professionals with data to plan and implement HCT awareness and knowledge programs for young people in Nigeria that could increase HCT uptake and reduce the incidence of HIV/AIDS.
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Lee, Chu-kee Angel. "Prevalence of and factors associated with depression among community elderly people using the mobile health clinic". Click to view the E-thesis via HKUTO, 2003. http://sunzi.lib.hku.hk/hkuto/record/B31971143.
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Wiebe, Jamie. "Gambling behaviour and factors associated with problem gambling among older adults". online access from Digital Dissertation Consortium access full-text, 2002. http://libweb.cityu.edu.hk/cgi-bin/er/db/ddcdiss.pl?NQ79913.
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Graham, Bevan Gillian. "Social networks, life satisfaction and community adaptation for people with severe mental illness: The contribution from friends, family, and service providers". Thesis, University of Ottawa (Canada), 2005. http://hdl.handle.net/10393/29215.
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This thesis examined the social networks and the perceived social support of people who have been receiving case management services from a community mental health program. Specifically, I focused on individuals who have severe and persistent mental illness and who have been living on the streets, in homeless shelters and in other forms of inadequate housing, since there is some evidence that homelessness itself can have important ramifications for the social network. The study had several objectives. Firstly, I described the social networks (including the professional branch of the network) of participants. Next, I looked at the links between their objective social network features (such as total network size, number of professionals, number of 'close confidantes', etc.) and their well being (as measured by life satisfaction and community adaptation). I also examined the relationship between subjective social support and well-being. Finally, a qualitative analysis was conducted using an inductive content analysis approach. Participants were asked to describe the types of changes they would like to make in their relationships with family members, and they were asked about the changes they would like to make in their relationships with unrelated individuals. As expected, participants described abnormally small social networks, and there was an over-representation of mental health professionals. The regression analyses suggested that the objective aspects of the social network may not be as important as participants' beliefs about their relationships and their satisfaction or dissatisfaction with their relationships. After controlling for the effects of gender and level of symptomatology, satisfaction with family relationships stood out as a predictor of overall life satisfaction. The qualitative results supported the quantitative results in some ways, but in other ways, the qualitative results contrasted with the quantitative. Participants were well aware that their social networks are small, and they wanted to have more friends. Importantly, they wanted to have friends who are "normal", i.e. friends who do not have mental health issues, friends who are socially acceptable and friends who look like valued members of society. In describing their family relationships, participants wanted to have more contact with their families and they wanted to feel more accepted by their families. (Abstract shortened by UMI.)
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Harwood, Daniel. "Risk factors for suicide in older people and grief experiences of bereaved relatives and friends : a descriptive and case control study". Thesis, University of Nottingham, 2004. https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.762433.
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Masot, Olga. "Dehydration in older people institutionalised in nursing homes: prevalence, associated factors and approach". Doctoral thesis, Universitat de Lleida, 2018. http://hdl.handle.net/10803/663324.
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Objectiu: 1) Identificar els factors de risc associats a la deshidratació a nivell internacional; 2) determinar la prevalença i els factors associats a la deshidratació en les persones grans institucionalitzades en una residència de Lleida; 3) establir la prevalença de la baixa ingesta hídrica en les persones grans institucionalitzades a Lleida i analitzar els factors que s’hi associen; i 4) examinar les intervencions existents a nivell internacional per l’abordatge de la deshidratació i la millora de la ingesta de líquids.
Metodologia: En primer lloc, es va realitzar una scoping review sobre els factors de la deshidratació, seguint la metodologia d’Arksey i O'Malley (2005), per tal de definir les variables susceptibles d’estudi. Seguidament, es va dur a terme un estudi descriptiu i transversal en una residència de Lleida. La mostra va ser el total de residents, tots ells majors de 65 anys. Les dades recollides van ser la deshidratació (BUN/Cr < 21) i variables sociodemogràfiques, clíniques, funcionals i mentals. Posteriorment, es va realitzar una altra scoping review, seguint la mateixa metodologia, per conèixer quines intervencions s'havien dut a terme per tal d’abordar-la.
Resultats: La prevalença de deshidratació va ser del 75,5% (IC 95% 65,5 – 85,5) en el total dels 96 residents. Es van associar de manera independent el ser dona (OR = 9,37; IC 95% 2,15 ‒ 40,87), tenir una ingesta hídrica < 1.500 ml (OR = 2,16; IC 95% 1,38 ‒ 8,51), el risc d’úlceres per pressió (UPP) (OR = 1,68; IC 95% 1,35 ‒ 6,93) i la disfàgia (OR = 4,53; IC 95% 2,31 ‒ 15,56). Per altra banda i donada la relació entre la deshidratació i la baixa ingesta hídrica, es van analitzar els factors associats a aquesta última. Com a resultats, el 34% dels residents ingeria < 1.500 ml/dia, però el 94,3% no bevia segons els seus estàndards recomanats. A més, es van trobar factors coincidents amb la deshidratació, el risc d’UPP i la disfàgia. Quant a les intervencions per abordar-los, es va veure que les invasives (seroteràpia intravenosa i subcutània) milloraven la clínica de la deshidratació, però produïen reaccions locals. Mentre que les no invasives (assistència individualitzada, estimulació per beure més i oferir una varietat de begudes) augmentaven la ingesta i milloraven els paràmetres analítics de deshidratació.
Conclusions: És important ressaltar la magnitud del problema de la deshidratació, present en 3 de cada 4 residents, i un dels seus factors associats, la baixa ingesta hídrica, sent un terç d’ells els que no bevien suficientment. Els resultats obtinguts ajuden a identificar i comprendre els seus factors en la gent gran institucionalitzada. Per tant, serveixen de base per a desenvolupar futures estratègies per al seu abordatge, donat que no s’ha trobat evidència en el nostre territori.Objetivo: 1) Identificar los factores de riesgo asociados a la deshidratación a nivel internacional; 2) determinar la prevalencia y los factores asociados a la deshidratación en las personas mayores institucionalizadas en una residencia de Lleida; 3) establecer la prevalencia de la baja ingesta hídrica en las personas mayores institucionalizadas en Lleida y analizar los factores que se asocian; y 4) examinar las intervenciones existentes a nivel internacional para el abordaje de la deshidratación y la mejora de la ingesta de líquidos. Metodología: En primer lugar, se realizó una scoping review sobre los factores de la deshidratación, siguiendo la metodología de Arksey y O'Malley (2005), para definir las variables susceptibles de estudio. Seguidamente, se realizó un estudio descriptivo y transversal en una residencia de Lleida. La muestra fue el total de residentes, todos ellos mayores de 65 años. Los datos recogidos fueron la deshidratación (BUN/Cr <21) y variables sociodemográficas, clínicas, funcionales y mentales. Posteriormente, se realizó otra scoping review, siguiendo la misma metodología, para conocer qué intervenciones se habían llevado a cabo para abordarla. Resultados: La prevalencia de deshidratación fue del 75,5% (IC 95% 65,5 ‒ 85,5) en el total de los 96 residentes. Se asociaron de manera independiente el ser mujer (OR = 9,37; IC 95% 2,15 ‒ 40,87), tener una ingesta hídrica < 1.500 ml (OR = 2,16; IC 95% 1,38 ‒ 8,51), el riesgo de UPP (OR = 1,68; IC 95% 1,35 ‒ 6,93) y la disfagia (OR = 4,53; IC 95% 2,31 ‒ 15,56). Por otra parte y dada la relación entre la deshidratación y la baja ingesta hídrica, se analizaron los factores asociados a esta última. Como resultados, el 34% de los residentes ingería < 1.500 ml/día, pero el 94,3% no bebía según sus estándares recomendados. Además, se encontraron factores coincidentes con la deshidratación, el riesgo de UPP y la disfagia. En cuanto a las intervenciones para abordarlos, se vio que las invasivas (sueroterapia intravenosa y subcutánea) mejoraban la clínica de la deshidratación, pero producían reacciones locales. Mientras que las no invasivas (asistencia individualizada, estimulación para beber más y ofrecer una variedad de bebidas) aumentaban la ingesta y mejoraban los parámetros analíticos de deshidratación. Conclusiones: Es importante resaltar la magnitud del problema de la deshidratación, presente en 3 de cada 4 residentes, y uno de sus factores asociados, la baja ingesta hídrica, siendo un tercio de ellos los que no bebían suficientemente. Los resultados obtenidos ayudan a identificar y comprender sus factores en las personas mayores institucionalizadas. Por lo tanto, sirven de base para desarrollar futuras estrategias para su abordaje, dado que no se ha encontrado evidencia en nuestro territorio.
Objective: 1) Identify risk factors associated with dehydration on an international level; 2) determine the prevalence and the factors associated with dehydration among older people institutionalised in a nursing home in Lleida; 3) establish the prevalence of low fluid intake in institutionalised older people in Lleida and to analyse the factors associated with this; and 4) determine the different model of care to treat dehydration and to improve the fluid intake. Methodology: Firstly, a scoping review was performed on the dehydration factors, following the methodology of Arksey and O'Malley (2005), in order to define variables selected to study. Subsequently, a cross-sectional pilot study was carried out at a nursing home in Lleida. The sample was the total of residents, all of them over 65 years old. The data collected were dehydration marker (BUN/Cr < 21) and sociodemographic, clinical, functional and mental variables. Afterwards, another scoping review was carried out, following the same methodology as the first, to identify what interventions had been carried out to address it. Results: The prevalence of dehydration was 75.5% (IC 95% 65.5 ‒ 85.5) in the total of 96 residents. Female (OR = 9.37; 95% CI 2.15 ‒ 40.87), had a fluid intake < 1500 mL (OR = 2.16; 95% CI 1.38 ‒ 8.51), the risk of pressure ulcers (OR = 1.68; 95% CI 1.35 ‒ 6.93) and dysphagia (OR = 4.53; 95% CI 2.31 ‒ 15.56) were associated with dehydration independently. On the other hand and given the relationship between dehydration and low fluid intake, the factors associated with the latter were analysed. As a result, 34% of residents were in < 1500 mL/day, but 94.3% did not drink according to their recommended standards. In addition, factors that coincided with dehydration, the risk of pressure ulcers and dysphagia were found. Regarding interventions to address them, it was found that invasive methods (intravenous and subcutaneous serotherapy) improved the dehydration clinic, but produced local reactions. Meanwhile, non-invasive interventions (individualised assistance, stimulation to drink more and offer a variety of drinks) increased intake and improved the analytical parameters of dehydration. Conclusions: It is important to emphasize the magnitude of the problem of dehydration, present in 3 out of 4 residents, and one of its associated factors, low fluid intake, with one third of them who did not drink sufficiently. The results obtained help to identify and understand its factors in institutionalised older people. Therefore, they serve as a basis to develop future strategies to approach this problem, since there has been no prior evidence in our territory.
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Reeves, Dawn. "Investigation into the psychological factors associated with adjustment in people with leg amputation". Thesis, Open University, 2000. http://oro.open.ac.uk/58076/.
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Adjustment difficulties can be a common problem for people with acquired physical disability. Depression can often be a sign that a person is having difficulties adjusting to and accepting change. One group of people with acquired disability are those who have had a limb amputated due to trauma, cancer, vascular disease or a congenital condition. People who have had an amputation are more likely develop depression than the general population. This study is an investigation into some of the factors (coping strategies, mood, and personality variables) associated with adjustment to amputation. Forty individuals with amputations were asked to complete a set of questionnaires and participate in a short taped interview. Coping strategies were measured using the COPE and personality variables were measured using the Structural Profile Inventory (SPI). Anxiety and depression were measured using the Hospital Anxiety and Depression Scale (HAD). Life satisfaction was measured using the Life Satisfaction Index (A) (LSI). The HAD and LSI were used as indicators of possible adjustment difficulties. Short interviews were also conducted to find out about people's perception of the care that they had received and if these were related to coping strategies. Statistical analysis showed that two coping strategies, positive reinterpretation and growth, and humour, were both associated with higher levels of life satisfaction. Mental disengagement was associated with lower levels of life satisfaction. Personality variables were associated with coping strategies. Two personality variables (Behaviour and Affect) were related to life satisfaction and anxiety. Qualitative analysis of interviews showed that people valued the support of other amputees and wanted services to provide more access to information about the range of artificial limbs available to them. The findings supported the hypothesis that personality is related to the use of particular coping strategies. This could help inform clinical practice, psychological intervention, and physical rehabilitation programmes.
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Stancic, Danijela. "Studies of community-associated meticillin resistant Staphylococcus aureus (caMRSA) carriage in people and animals". Thesis, The University of Sydney, 2014. http://hdl.handle.net/2123/13967.
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Meticillin resistant Staphylococcus aureus (MRSA) is a leading cause of bloodstream infections in Australia and is one of the top ten pathogens with an adverse impact on human health worldwide. Infections caused by this organism were originally associated with the healthcare setting, termed healthcare-associated MRSA (haMRSA). New strains of MRSA termed community-associated caMRSA (caMRSA), with different genetic characteristics to haMRSA strains, were first identified in patients residing in remote communities in Western Australia during the early 1990’s. Colonisation with caMRSA precedes and increases the risk of subsequent infection with this organism. Research on caMRSA carriage in community settings has mainly come from Europe and the US. Community specific data for caMRSA carriage in Australia is sparse. This study aimed to detail the prevalence of MRSA in community members (n=283), as well as in groups at risk for the acquisition of MRSA, comprising contact sports participants (n=199), dogs (n=108), dog handlers (n=94), horses (n=310), horse handlers (n=38), veterinary nurses (n=48) and veterinarians (n=60). The role of household contacts and the environment as sources of caMRSA was investigated in the veterinary cohort. Genotypic analyses were used to differentiate strains of caMRSA from haMRSA, and unique strain characteristics were detailed. Genotypic tests included multiplex real-time PCR (RT-PCR), macro-restriction pulsed field gel electrophoresis (PFGE), SCCmec typing, multilocus sequence typing (MLST) and DNA microarrays. The findings of the present study revealed caMRSA poses a greater risk to veterinarians (20%), veterinary nurses (6.25%) and horse handlers (5.26%) than to all other cohorts investigated in which prevalence of caMRSA was found to be low (<2%) or absent.
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Sasaki, Ichiro. "Are pension types associated with happiness in Japanese older people?: JAGES cross-sectional study". Kyoto University, 2019. http://hdl.handle.net/2433/242913.
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Johnson, Matthew Louis. "Investigating potential risk factors for nursing home admission associated with individuals enrolled in Georgia's Community Care Services Program". unrestricted, 2007. http://etd.gsu.edu/theses/available/etd-04232007-115345/.
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Thesis (M.P.H.)--Georgia State University, 2007.Title from file title page. Russ Toal, committee chair; Frank Whittington, Derek Shendell, committee members. Electronic text (83 p.) : digital, PDF file. Description based on contents viewed Jan 15, 2008. Includes bibliographical references (p. 80-83).
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Casadesus, Gemma. "Modulation of cognition by dietary blueberry supplementation : role of hippocampal neurogenesis and associated molecular mechanisms /". Thesis, Connect to Dissertations & Theses @ Tufts University, 2003.
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Thesis (Ph.D.)--Tufts University, 2003.Adviser: Robin B. Kanarek. Submitted to the Dept. of Psychology. Includes bibliographical references (leaves 89-106). Access restricted to members of the Tufts University community. Also available via the World Wide Web;
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Gardner, N. K. "Informing indicated prevention : factors associated with the development of problematic cannabis use in young people". Thesis, Liverpool John Moores University, 2016. http://researchonline.ljmu.ac.uk/4204/.
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This research explores the relationship between risk factors associated with cannabis use in young people. This thesis addresses the assessment of cannabis use and its association with risk factors and implicit associations, and the suitability of these for targeting at-risk cannabis users, and how theories of drug instrumentalization and normalization frame cannabis use behaviour in young people in contact with drug services using a mixed-methods approach. Additionally, this research addresses the implications for indicated prevention and the targeting of young people considered at risk for developing problematic cannabis use behaviours. This PhD reviews the scientific literature on cannabis use, with an emphasis on prevalence and use behaviours alongside associated risk and protective factors. Cannabis markets and potency, along with policy implications, are also explored. Furthermore, this PhD aims to understand how cannabis use behaviour assessment impacts on the identification of risk, and the subsequent implications for identifying those who might benefit from further support. Frequent, habitual cannabis users and their relationship with risk factors, including implicit cognitions, and use behaviour assessment are explored. Additionally, cannabis users in touch with drug services and their use behaviour are explored through frameworks of drug use instrumentalization and normalization. Lastly, the main findings of this dissertation are surmised and future research and policy implications are discussed. This PhD illustrates the importance of cannabis use behaviour assessment in identifying young people at-risk for developing problematic use behaviours. This thesis provides evidence that suggests that psychopathology, and the over-instrumentalization of use as a self-medication, coping mechanism may be associated with the development of problematic use outcomes. These findings are contextualised within the current cultural and political environments in the United Kingdom and discussed in regards to their suitability for indicated prevention.
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Dirisu, Osasuyi Osamuyimen. "Cannabis use among young people in Nigeria : exploring the context of use and associated factors". Thesis, University of Leeds, 2015. http://etheses.whiterose.ac.uk/12937/.
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Background: Cannabis is the most widely used illicit substance in Nigeria and is the first illicit substance young people are likely to use. There is evidence to show that cannabis use causes health and social problems that are more severe among young people. Cannabis use is criminalised in Nigeria and the context of use relating to motivation, risk factors and situations in which it is used is poorly understood. Aim: This research aimed to explore the context and factors that are associated with cannabis initiation and continued use among young people in Nigeria with a view to making evidence based recommendations for health promotion. Methods: Two studies were conducted in Lagos state among young people aged 16-21 years utilising the Theory of Triadic Influence as a framework. A quantitative study entailed the use of questionnaires to evaluate risk factors for the initiation and use of cannabis among 909 secondary school students in Lagos state. Binary logistic regression and multinomial logistic regression utilising latent class models were the analytical strategies used. A qualitative study utilising interviews and focus groups among 39 young people explored motivations, meanings and the context of cannabis use. Interviews were analysed using thematic analysis. Results: Findings showed that initiation was influenced by subcultural issues and individual factors influenced continued use. There was a tendency for continuation after initiation that was possibly linked to its use as a coping strategy for social inequalities, failed aspirations, family conflicts and the criminal identity. Cannabis users were more likely to be older, higher sensation seekers and were associated with family members or peers who used cannabis. Recommendation: These findings suggest that a non-judgemental participatory approach is needed to understand how the current cannabis policy affects young people. It is important to contextualise the needs of young people in programme planning.
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Marmon, Adam Rubin. "Neuromuscular adaptations associated with the onset of rapid strength gains in the elderly". Access to citation, abstract and download form provided by ProQuest Information and Learning Company; downloadable PDF file 0.47Mb, 81 p, 2005. http://wwwlib.umi.com/dissertations/fullcit/1428180.
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Winkworth, James. "They make me feel that I have got friends and I am liked: meaningful and reciprocal friendships in children and young people with autism". Thesis, University of Surrey, 2014. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.658833.
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Objective: Current research suggests there are many individuals with Autism Spectrum Conditions (ASC) who desire friendships with their peers. However they are unable to engage in such relationships because they often lack the social skills required. Peer rejection and a paucity of childhood friendships in those with ASC has been linked to negative longer term outcomes such as depression and anxiety. Over the last decade there has been· an emerging body of qualitative research which has elicited a small number of instances where individuals with ASC have formed long lasting and stable friendships with their peers. At present the current qualitative literature appears incomplete and often hampered by methodological constraints inherent with the social difficulties which characterise those with ASC. The objective of this study was to increase our understanding of how young people with ASC experience and understand their friendships and how these relationships have developed throughout their lives. Design: This study adopted a semi-structured interview design comprising two thirty minute interviews. Interview data was transcribed and analyzed using the qualitative methodology of Interpretive Phenomenological Analysis. Participants: Ten boys aged between ten and fifteen years took part in the study. All participants had a formal diagnosis of an ASC and attended the same specialist educational provision.
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SHI, YUE y VINEETA PENDSE. "Identifying Users, Customers and Stakeholders : A Case Study of Salta Friends AB’s Application for the Persons with Disabilities". Thesis, KTH, Skolan för industriell teknik och management (ITM), 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-299947.
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När man utvecklar en applikation för informations- och kommunikationsteknik (ICT) som syftar till att hjälpa funktionsnedsatta individer är det viktigt att ta hänsyn till deras utmaningar och behov. Samtidigt är det också viktigt att förstå svårigheten i att utforma en universell ICT-applikation som ska passa dem alla på grund av deras motstridiga behov och kapacitet. Dessutom har många av dem ekonomiska svårigheter. Därför uppstår frågan om hur man prissätter dessa ICT-applikationer. Denna forskning bygger på en fallstudie av en ICT-applikation som utformats av Salta Friends AB som arbetar med att öka det sociala engagemanget för personer med funktionsnedsättning. Studien är kvalitativ och 15 intervjuer av olika intressenter till applikationen har genomförts. Dessa intervjuer gav insikter som hjälpte till att kartlägga deras olika behov och utmaningar. Utmaningarnas fokus ligger på de allmänna, sociala och tekniska kontexterna som slutanvändaren möter. Baserat på dessa insikter har ett antal faktorer tagits fram som man bör beakta då man inriktar sig på lämpliga kunder och användare till ICT-applikationer. Dessutom diskuteras alternativa inkomstkällorna som kan finnas för dessa applikationer för några identifierade kunder. Slutligen förklaras varför det underlättar att involvera de funktionsnedsatta individerna i ett tidigare skede i produktutvecklingsprocessen vid valet av lämpliga kunder och användare samtidigt som man tar fram rätt prissättningsmodell. Forskningen ger också förslag till den Salta Friends AB nästa steg i detta arbete.While developing an Information and Communication Technology (ICT) application aimed at assisting persons with disabilities, it is important to take their challenges and needs into consideration. Simultaneously, it is important to understand the difficulty in designing a universal ICT product for them owing to their conflicting needs and capabilities. Additionally, many of them face economic hardships. Therefore, the issue of how to price these ICT applications arises. This research follows a case study of an ICT application devised by a Salta Friends AB to increase the social involvement of people with disabilities. It is a qualitative research conducted with the help of 15 interviews of different stakeholders of the application. These interviews provide insights that will help in mapping their different needs and challenges. The focus of the challenges is on the general, social, and technological context faced by the end-user. Based on these insights, factors have been recommended to be considered while targeting the appropriate customers and users for ICT applications. It also discusses the alternate sources of income that can exist for these applications by identifying a different customer. And finally, the research explains why including the persons with disabilities at an earlier stage in the product development process helps ease the selection of the right customers and users along with devising the right pricing model. The research also provides propositions and suggestions for Salta Friends AB and their next steps.
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Eyde, Kathy Karuza 1953. "FUNCTIONAL CHANGES ASSOCIATED WITH HOSPITALIZATION IN A GROUP OF ELDERLY PATIENTS". Thesis, The University of Arizona, 1986. http://hdl.handle.net/10150/274577.
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Munakash, Kris E. "SOCIAL NETWORKING: CREATING A SOCIETY OF NARCISSISTS OR HELPING PEOPLE REACH SELF-ACTUALIZATION?" CSUSB ScholarWorks, 2016. https://scholarworks.lib.csusb.edu/etd/273.
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Social networking sites (SNSs) are growing in popularity and diversity. Prior research has shown that SNSs use is correlated with various personality traits including narcissism. To date, no work has examined the association between SNSs use and self-actualization. Given the potential overlap of narcissism and self-actualization, the goal of the present study was to first examine the conceptual overlap of these two intrapersonal characteristics. We then sought to examine the associations between SNSs use, narcissism, and self-actualization with an expectation that self-actualization would mediate the association between SNSs use and narcissism. One thousand six hundred and four adults completed an online survey with questions to assess their demographic traits, SNSs activities, and personality characteristics. Results indicated some overlap between narcissism and self-actualization; but, in general, each was a distinct personality trait. Results also demonstrated that the association between self-actualization and SNSs usage was not significant. Contrary to our prediction, self-actualization did not mediate the association between SNSs activities and narcissism. Finally, the study found that narcissism scores were reportedly higher after using SNSs than they were prior to SNSs use.
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Kemsley, Matthew. "Service-User Involvement: Recovery and Interactions with Mental Health Services in People Associated with Personality Disorder". Thesis, Lancaster University, 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.485230.
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Aims and Method: The present study explored the experiences and beliefs of people associated with personality disorder (PO) about their difficulties, 'recovery', and their interactions with mental health services, both as users and consultants involved in delivering s~rvices. Study Design: The present study adopted a qualitative me~odology. Data, elicited from eight semi-structured interviews, were analysed using Interpretative Phenomenological Analysis. Participants were involved in constructing the interview schedule and data analysis phase. Results: Findings provided a picture of~hat was deemed as helpful and unhelpful support in participants' struggle to m~nage their ongoing difficulties. This included reflections on the benefits and barriers involved in working as a service-user consultant. Five themes revealed by the analysis contributed to this understan&ing: personal experience and· relationship to PO difficulties; power and powerlessness; understanding; isolation; and the individual and social self. Discussion: Based on the present findings it is argued that participants' experiences of mental health services, coinciding with their association with PO, can be represented as a disabling process. A social model of madness and distress is used to reflect upon the difficulties reported by participants and the consequences on their sense of self and identity. Findings were seen as supporting a multidisciplinary and psychologically informed approach to working with people associated with PD. It is argued that such services should be underpinned by the principles of recovery approaches, embodied in the involvement of users in the delivery of services. Further reflections: Additional deliberation is afforded to the selection of methodology and process issues arising during research. The latter included consideration of the interrelatedness between researcher and therapist roles. The quality of findings is evaluated according to study limitations and generalisability, with reflections on the nature of user i I involvement and avenues implicated for further research.
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李珠璣 y Chu-kee Angel Lee. "Prevalence of and factors associated with depression among community elderly people using the mobile health clinic". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2003. http://hub.hku.hk/bib/B31971143.
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Hegarty, Kieron. "An exploration of the psychological mechanisms associated with the resilience process of people who are homeless". Thesis, Cardiff University, 2014. http://orca.cf.ac.uk/65815/.
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Homelessness is experienced by considerable numbers of people throughout the UK. Research convincingly demonstrates the multiple and frequent difficulties that people who are homeless face, including: limited support networks, mental and physical health difficulties, problems associated with substance use, and social exclusion. There is a lack of research however, that explores their strengths, resilience, and ability to cope with adversity. Many services arguably parallel this trend and focus on risk management and treatment strategies that target perceived pathology and vulnerability characteristics. The study contributed to strengths-based research and explored the psychological processes associated with a sense of manageability of people who were homeless. This unique line of research enquiry was guided by the study’s systematic review. In-depth interviews were conducted with eight adult males who temporarily resided at a homeless hostel in Wales. Interpretative Phenomenological Analysis was used to identify themes. Processes that both enhanced and detracted from manageability were inferred. In particular, self-efficacy and self-esteem seemed important to sustain and promote the well-being of participants, and influenced actions towards future transition out of homelessness. There was evidence to suggest that these constructs were closely associated with participants’ relationship experiences. The study supports the core components of Rutter’s (1985; 2013) conceptualization of resilience. Intervention strategies were discussed in relation to the findings, but primarily, services were encouraged to promote supportive relationships for homeless people, as these can foster self-efficacy and self-esteem processes that are hypothesised to mediate resilience, and encourage people’s social inclusion. Further culturally sensitive research of resilience processes is recommended.
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Cherry, M. G. "Psychological processes associated with expressed emotion in carers of people with long-term mental health difficulties". Thesis, University of Liverpool, 2016. http://livrepository.liverpool.ac.uk/3003767/.
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Approximately six and a half million people in the United Kingdom (UK) provide unpaid care to others, typically family members or close friends, with this number projected to rise to nine million by 2037 (Carers UK, 2014). Of these, approximately 13% (equivalent to one in 10 people in the UK) provide care to someone with a long-term mental health difficulty, saving the UK economy an estimated 17 billion per year (Yeandle & Buckner, 2015). Caring for someone with a long-term mental health difficulty can be a challenging and emotional experience, with carers often displaying higher levels of anxiety, depression, and general psychological distress than members of the general population (Kuipers, Onwumere, & Bebbington, 2010; Perlick et al., 2007). As such, a strong moral and financial argument can be made for developing effective, flexible and inclusive services and interventions which support carers in their roles and safeguard their wellbeing (Department of Health, 2014). Family interventions (FIs) are currently the main avenue of professional support recommended for carers of people with long-term mental health difficulties (American Psychiatric Association, 2004; Bucci, Berry, Barrowclough, & Haddock, 2016; Galletly, et al., 2016; National Institute for Health and Care Excellence, 2014). Their development emerged from research demonstrating the important role that family factors, specifically the family environment, plays in influencing psychological outcomes for both carers and service-users (Barrowclough & Hooley, 2003; Hooley, 2000, 2007). This began in the mid-20th century, as the notion of the 'schizophrenogenic mother'2 gained widespread popularity within the psychiatric profession (Fromm-Reichmann, 1948; Lidz, Cornelison, & Singer, 1964). Around the same time, Bateson and colleagues (1956; 1963) proposed that the communication difficulties often considered characteristic of individuals with a diagnosis of schizophrenia may actually arise as a result of 'double bind' communication patterns within families, rather than as a result of underlying abnormal brain pathology. To this end, Bateson and colleagues (1956) advocated that particular family constellations could be identified as aetiological factors for schizophrenia. Developments in psychological and psychiatric theory, coupled with a changing sociocultural landscape, meant that by the mid-1970s the notion of the 'schizophrenogenic mother' was largely discredited. However, rather than ceasing, research into the importance of the family environment gained increasing momentum with the progression of deinstitutionalisation. To date, the most influential body of research in this area has focused upon 'expressed emotion'. This term emerged from a series of research studies investigating the influence that the family environment had upon the relapse rates of men diagnosed with schizophrenia following their return to the community after a period of hospitalisation (Brown, Carstairs, & Topping, 1958; Brown, 1959; Brown, Monck, Carstairs, & Wing, 1962; Brown & Rutter, 1966; Brown, Birley, & Wing, 1972; Leff & Vaughn, 1985; Rutter & Brown, 1966; Vaughn & Leff, 1976a, 1976b). In a series of seminal studies, Brown and colleagues (1958; 1959) noted significantly higher relapse and re-admission rates among service-users who had returned to live either in large hostels or with their parents or wives than among those who had returned to live with their siblings or in lodgings. This finding could not be accounted for by factors such as the service-user's age or clinical presentation, leading Brown (1959) to initially conclude that "it may not always be in the schizophrenic patient's best interests for him to be returned to his family" (pp. 128). In a series of further studies, Brown and colleagues (1962; 1966; 1972) identified four indices of family environment associated with post-discharge relapse rates: emotional over-involvement (EOI), critical comments (CC), hostility and warmth (Table 1).
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Seal, D. A. "The feasibility of a one day Dialectical Behavioural Therapy skills workshop for friends, relatives and partners of people with a diagnosis of Borderline Personality Disorder". Thesis, University College London (University of London), 2012. http://discovery.ucl.ac.uk/1363588/.
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Background: People who have a diagnosis of Borderline Personality Disorder (BPD) experience a great deal of psychological distress. Their relationships with others can mediate their distress yet they find it difficult to maintain relationships. Method: This study examines the feasibility of a one day workshop teaching Dialectical Behaviour Therapy (DBT) skills to the friends, relatives and partners of people who have a diagnosis of BPD. A single group, repeated measures design was used to test the primary outcome hypothesis; that one month after the workshop, attendees’ emotion regulation and mindfulness skills will be improved. A single cohort pre-post design was used to test the secondary outcome hypothesis; that a month after the workshop, people with BPD will rate the environment between themselves and their friend or relative as more validating. The feasibility of the workshop was addressed, in part, through thematic analysis of semi-structured interviews with the participants at one month follow up. Results: Recruitment to the workshop was poorer than expected; 22 people, invited by 17 clients with BPD, participated. There was no change in mindfulness or emotion regulation skills as a result of the workshop but there was a significant difference between the perceived invalidating environment before (Mdn=1.93, IQR=1.29) and one month after (Mdn=1.64, IQR=0.82) the workshop (p=.023). Qualitative findings suggest that friends and family developed self-efficacy, coping skills, felt less isolated and gained compassion for the person with BPD. Conclusions: A larger scale study is feasible but protocol modifications are necessary. A three armed randomised controlled trial comparing the one day DBT skills workshop, with a wait list control group and a teaching and social support group is recommended.
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Opper, Björn. "Compromised affect and learning associated with Crouzon syndrome a clinical case study /". Pretoria : [s.n.], 2006. http://upetd.up.ac.za/thesis/available/etd-10022007-132545/.
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Guy, Elmer Juliuson. "Factors Associated with Both Successful and Unsuccessful Vocational Rehabilitation Case Closures of Navajo People with Disabilities: A Qualitative Study". Diss., The University of Arizona, 2009. http://hdl.handle.net/10150/195949.
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For many years, vocational rehabilitation services to American Indians and Alaskan natives have been provided by state vocational rehabilitation agencies on a limited basis. Legislative amendments in 1978 allowed Indian nations to assume responsibility for providing vocational rehabilitation services similar to those provided by state vocational rehabilitation agencies. The Navajo Nation was the first American Indian nation to develop and provide vocational rehabilitation services based on an Indian reservation. This qualitative study explores the "lived experiences" of former vocational rehabilitation recipients who were served by the Navajo Office of Special Education and Rehabilitation Services on the Navajo reservation. By utilizing qualitative interviews, the researcher identifies themes of qualifying factors that contributed to successful and unsuccessful case closures of Navajo individuals (male and female) with a disability who were served by Navajo nation vocational rehabilitation agencies. The researcher personally interviewed thirteen individuals with disabilities.A number of factors were found to contribute to the successful or unsuccessful closure of Rehabilitation cases with Navajo consumers who have different disabilities. These factors included personal characteristics of the consumers, the degree to which consumers knew, understood, and acted upon their cultural teachings, the degree to which counselors provided useful support to consumers, the timeliness of the provision of services, and the degree to which the financial resources provided were adequate for the consumer's eventual success.
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McAllister, Amanda Jo. "Clarifying Variables associated with Problem Behaviors Using Structured Descriptive Assessment". Thesis, University of North Texas, 2005. https://digital.library.unt.edu/ark:/67531/metadc4853/.
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This study evaluated the utility of a structured descriptive assessment (SDA) as an alternative method of functional assessment. Initially, an analogue functional analysis, conducted to assess the problem behavior of two adults with developmental disabilities, produced inconclusive results. Subsequently, SDAs was conducted in the individuals' natural environment with the direct-contact caregivers acting as therapists. This assessment manipulated antecedent variables similarly to the analogue functional analysis but allowed for consequences to occur naturally. The results from SDAs suggested that problem behaviors, for both participants, were occasioned by removal of personal items and maintained by their return. Treatments based on the results of SDAs were implemented in a reversal design and resulted in a notable reduction in the occurrences of problem behavior for both participants. These outcomes suggest that SDA procedures may be useful when results from the analogue functional analysis are inconclusive.
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Kumwenda, Khalikapo Morton. "Factors associated with poor adherence to antiretroviral therapy among people living with HIV in Zomba district, Malawi". University of the Western Cape, 2011. http://hdl.handle.net/11394/5365.
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Magister Public Health - MPHThe introduction of antiretroviral therapy (ART) brought new hope to HIV patients as it has transformed a fatal disease to a chronic manageable condition. In 2009 there were over 920,000 Malawians infected with HIV and 110,000 new infections. Malawi like other countries in the sub-Saharan Africa has made great strides in ensuring access to ART. The government of Malawi introduced free antiretroviral therapy (ART) in June 2004. By 2010, a total of 250,987 patients in the country were receiving ART. The success of ART requires, amongst others, a sustained adherence rate to medication of more than 95% to prevent viral replication and the development of drug resistant HIV strains. Identifying the factors that influence adherence is essential for the long-term success of public ART programmes. This study explored patient, socio-economic, cultural, and religious and health systems factors that influence adherence to ART in Zomba district in Malawi. An explorative qualitative study was conducted amongst ART patients and health workers in four health facilities in Zomba district of the Southern Region of Malawi. Data collection was through individual in-depth interviews with 25 ART patients and semi-structured key informant interviews with 13 health workers that were actively involved in the ART programme. Data was audio-recorded and transcribed verbatim. Thematic and content analysis of transcribed data was done. The study found high individual commitment, having social support from family and friends and continuous good counselling to be facilitators to adherence to ART. HIV-related stigma and discrimination, none disclosure of HIV status, lack of partner support, travelling to attend funerals and religious beliefs were noted barriers to adherence. Health system factors such as congestion in the clinic, negative staff attitudes and a lack of privacy at the pharmacy were also identified as barriers to clinic attendance and keeping appointments. Although pill burden was not mentioned, patients reported drug reactions as a barrier to adherence. Although there is good road network in the district, transport cost was still mentioned as a hindrance to treatment adherence. Treatment success was reported to be both a facilitator and a barrier to adherence. HIV-related stigma and discrimination among people need to be addressed to increase support to PLWHIV and encourage disclosure of HIV status. The improvement of the socio-economic status of ART patients needs to be addressed to reduce dependence on support from other people and provide money to make follow-up appointments. The health systems need to reduce clinic congestion and waiting times so that patients are not deterred from accessing ART.
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Parker, James W. C. "Investigation of factors associated with psychological adjustment and coping in people waiting for a lower gastro-intestinal endoscopy". Thesis, University of Oxford, 2005. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.419357.
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Hung, Tak-fung Anchor y 熊德鳳. "A community study on the factor associated with quality of life of people with epilepsy in Hong Kong". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2008. http://hub.hku.hk/bib/B40687454.
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Almilaibary, Abdullah Abdulbasit. "A mixed methods study of the factors associated with HIV testing uptake among young people in Saudi Arabia". Thesis, University of Hull, 2017. http://hydra.hull.ac.uk/resources/hull:15511.
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Background Despite recent progress in enhancing the accessibility of HIV-related health services worldwide, opportunities to diagnose patients are often missed due to genuine barriers at different levels. The aim of this study is to explore the factors that affect the uptake of HIV testing by young people in Saudi Arabia. Methods A sequential mixed methods design was used to reveal the factors that influenced HIV testing among young people aged 17-25 years. In terms of the quantitative strand of the study, a descriptive cross-sectional design was applied to identify the relevant and context-specific factors that influenced HIV testing among Umm- Al Qura University students. The students were selected using a convenience sampling technique. Self-completed online questionnaire was used. The questionnaire consisted of 52 items: 12 items for HIV/AIDS-related knowledge, 3 items for risk perception, and 37 items for attitudes toward HIV testing. For the qualitative strand of the study, semi-structured interviews were used to gather the perspectives of healthcare professionals working in the field of HIV/AIDS in the country. Results Three hundred and ninety four participants completed the questionnaire: 116 (29.4%) male and 278 (70%) female. 50.5% of the participants were aged from 20 to 22 years, 34.8% were 17-19 years and 14.7% were aged between 23-25 years. Only 20 (6%) participants had previously been tested for HIV. The main reasons for not being tested for HIV were: exposure to HIV was considered unlikely (48%), the HIV test was not offered (36%), and a lack of awareness of the locations of HIV testing centres (16%). With regard to HIV/AIDS-related knowledge, the male participants scored higher than the females as the mean score for males was (M = 6.4, SD = 2.4) while for females it was (M = 5.7, SD = 2.5); however, this difference was not significant. In terms of risk perception, female participants had lower levels of risk perception than male participants, with the mean score for males being (M = 11.7, SD = 2.5) and (M = 10.5, SD = 2.4) for females; this difference was statistically significant p < 0.01. The female participants showed slightly more positive attitudes towards HIV testing than male participants: the mean score for males was (M = 108.14, SD = 17.9) and was (M = 111.32, SD = 17.3) for females. However, this difference was not significant. Healthcare professionals who were interviewed indicated stigma, an HIV/AIDS knowledge gap and fear of the consequences of a positive result as the main factors hindering the uptake of the HIV test. Conclusions Knowledge, attitudes and HIV risk perception are critical factors that inform the decision to undertake HIV testing. However, socio-cultural constraints constitute a significant additional burden that hinders the efforts to scale up the HIV testing uptake in Saudi Arabia.
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Jordan, Sarah Catherine. "An investigation of the slipstreams and wakes of trains and the associated effects on trackside people and objects". Thesis, University of Birmingham, 2008. http://etheses.bham.ac.uk//id/eprint/8029/.
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A mathematical model is developed which predicts if a person or a pushchair is destabilised by a train's slipstream. The model simulates the mean slipstream velocity time history using the theories of potential flow, boundary layer growth and wake decay. The turbulence-induced fluctuations are reproduced with an autoregressive model. A randomised person is generated and subjected to the simulated slipstream, and their response is modelled by a simple solid object and a mass-spring-damper system. If the slipstream forces cause the person to be displaced by a critical distance the person is destabilised. A randomised pushchair is also generated and positioned so as to be capable of being destabilised by either toppling over or moving along the ground on its wheels. A toppling pushchair is modelled as a simple solid object in a similar manner to that of a person, and a pushchair will move along the ground on its wheels if the slipstream force is greater than the frictional force. Greater numbers of destabilised people and pushchairs are associated with the slipstream of a freightliner than that of a passenger train, increasing train speed and decreasing distance from the train side.
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Pacella, Maria Lynn. "The Impact of Prolonged Exposure on PTSD Symptoms, Associated Psychopathology, and Medication Adherence in People Living with HIV". Kent State University / OhioLINK, 2010. http://rave.ohiolink.edu/etdc/view?acc_num=kent1278611528.
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