Bibliografie tematiche / Treatment engagement model

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Letteratura scientifica selezionata sul tema "Treatment engagement model"

Autore: Grafiati

Pubblicato: 4 giugno 2021

Ultima modifica: 1 febbraio 2022

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Articoli di riviste sul tema "Treatment engagement model"

Tomassone, Joseph. "Trauma-Responsive Engagement and Treatment (TREAT)". Journal of Child and Youth Care Work 25 (17 novembre 2020): 92–105. http://dx.doi.org/10.5195/jcycw.2015.74.

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This article will outline a conceptual framework for Trauma-Responsive Engagement and Treatment (TREAT), which can be implemented as a model for organizational and programmatic transformation in a juvenile justice system. The proposed TREAT framework is designed to create juvenile justice programming that is not only trauma-informed, but is actually trauma-responsive with respect to all of the members of its community. That is, TREAT staff identify and respond to the outcomes of traumatic experiences in order to help people recover. They work to increase emotional and behavioral self-regulation of participants and help them to achieve self-identified goals. The article will discuss the evolution of this model in the context of recent and historical forces that have fueled juvenile justice reform efforts nationwide. The article will also describe how systemic changes in reaction to those forces should include a clear understanding of, and response to, the impacts of trauma on youth, staff, and systems, and will emphasize that true systemic transformation requires a model which engages, motivates, and benefits all members of a juvenile justice service delivery system—staff and youth alike.

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Warnick, Erin M., Karen Bearss, V. Robin Weersing, Lawrence Scahill e Joseph Woolston. "Shifting the Treatment Model: Impact on Engagement in Outpatient Therapy". Administration and Policy in Mental Health and Mental Health Services Research 41, n. 1 (12 settembre 2012): 93–103. http://dx.doi.org/10.1007/s10488-012-0439-3.

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Geliukh, Evgenia, Dilyara Nabirova, Karapet Davtyan, Svetlana Yesypenko e Rony Zachariah. "Primary healthcare centers engagement in tuberculosis treatment in Ukraine". Journal of Infection in Developing Countries 13, n. 07.1 (31 luglio 2019): 83S—88S. http://dx.doi.org/10.3855/jidc.11292.

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Introduction: We assessed the influence of a result-based financing (RBF) model, which included incentives for Primary Healthcare facilities on TB treatment outcomes. Methodology: We compared TB patients > 17 years and their treatment outcomes among those who did and did not benefit from RBF-model in 14 districts of Odeska oblast, Ukraine in 2017. Log-binomial regression was used to examine factors associated with being included in RBF-model. Results: Of 2,269 reported TB patients, 308 (14%) were included in RBF-model. Most patients in the RBF-model were from rural areas 229 (74%), unemployed 218 (71%), and HIV-infected 131 (43%). Individuals from urban areas (Adjusted risk ratio, ARR =0.9, 95% Confidence Interval, CI:0.89-0.94), having drug-resistant TB (ARR = 0.3, 95% CI: 0.18-0.45), and relapse TB (ARR = 0.6, 95% CI:0.40-0.83) were less likely to be included in RBF-model. Favorable outcomes in new/relapse cases with RBF-model was 89% compared with 41% (p < 0.001) without RBF. Similarly, for other retreatment this was 83% versus 40% (p < 0.001). Failures in the no-RBF group was 29% for new and relapse cases while for other retreatment cases, it was 26% (significantly higher than in the RBF-model). Conclusion: RBF-model is effective in achieving high levels of favorable TB treatment outcomes. Almost three-in-ten TB patients in non-RBF category failed TB treatment despite having drug-susceptible TB. Efforts are now needed to include it within ongoing public health reforms and assess the feasibility of scaling-up this intervention through implementation research and dedicated funding.

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King, Van Lewis, e Robert K. Brooner. "Improving Treatment Engagement in Opioid-Dependent Outpatients with a Motivated Stepped-Care Adaptive Treatment Model". Joint Commission Journal on Quality and Patient Safety 34, n. 4 (aprile 2008): 209–13. http://dx.doi.org/10.1016/s1553-7250(08)34027-6.

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Nelson, Danielle, Geoffrey Walcott, Christine Walters e Frederick W. Hickling. "Community Engagement Mental Health Model for Home Treatment of Psychosis in Jamaica". Psychiatric Services 71, n. 5 (1 maggio 2020): 522–24. http://dx.doi.org/10.1176/appi.ps.201900063.

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Sturgess, Danielle, Jessica Woodhams e Matthew Tonkin. "Treatment Engagement From the Perspective of the Offender". International Journal of Offender Therapy and Comparative Criminology 60, n. 16 (28 luglio 2016): 1873–96. http://dx.doi.org/10.1177/0306624x15586038.

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A systematic review of the reasons why detained adult offenders fail to attend or successfully complete treatment programme(s) was conducted. An initial search of the literature identified 2,827 articles, which following evaluation against explicit inclusion/exclusion criteria and a quality assessment was reduced to 13 studies. Extracted data from the 13 studies were synthesised using a qualitative approach. Despite the 13 studies being heterogeneous in design, there was consensus on the reasons offenders gave for completion/noncompletion of treatment. The majority were consistent with the factors outlined in the Multifactor Offender Readiness Model (MORM) and included a perceived lack of self-efficacy, negative perceptions of treatment, staff and peers, an inability to regulate emotions, and a lack of perceived choice and control. A lack of opportunity to engage in established, professionally run, groups, as well as perceived inadequate support from members of staff, was also associated with poor engagement and noncompletion of treatment.

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Macoveanu, Julian, Kirsa M. Demant, Maj Vinberg, Hartwig R. Siebner, Lars V. Kessing e Kamilla W. Miskowiak. "Towards a biomarker model for cognitive improvement: No change in memory-related prefrontal engagement following a negative cognitive remediation trial in bipolar disorder". Journal of Psychopharmacology 32, n. 10 (4 luglio 2018): 1075–85. http://dx.doi.org/10.1177/0269881118783334.

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Background: Cognitive deficits are prevalent in bipolar disorder during remission but effective cognition treatments are lacking due to insufficient insight into the neurobiological targets of cognitive improvement. Emerging data suggest that dorsal prefrontal cortex target engagement is a key neurocircuitry biomarker of pro-cognitive treatment effects. Aims: In this randomized controlled functional magnetic resonance imaging study, we test this hypothesis by investigating the effects of an ineffective cognitive remediation intervention on dorsal prefrontal response during strategic memory encoding and working memory engagement. Methods: Bipolar disorder patients in partial remission with subjective cognitive difficulties were randomized to receive 12-week group-based cognitive remediation ( n = 13) or to continue their standard treatment ( n = 14). The patients performed a strategic episodic picture encoding task and a spatial n-back working memory task under functional magnetic resonance imaging at baseline and following cognitive remediation or standard treatment. Results: The right dorsolateral prefrontal cortex was commonly activated by both strategic memory tasks across all patients. The task-related prefrontal engagement was not altered by cognitive remediation relative to standard treatment. The dorsolateral prefrontal cortex response was not significantly associated with recall accuracy or working memory performance. Conclusions: As hypothesized, no task-related change in prefrontal activity was observed in a negative cognitive remediation trial in remitted bipolar disorder patients. By complementing previous findings linking cognitive improvement with increased dorsolateral prefrontal cortex engagement, our negative findings provide additional validity evidence to the dorsal prefrontal target engagement biomarker model of cognitive improvement by strengthening the proposed causality between modulation of dorsolateral prefrontal cortex engagement and pro-cognitive effects.

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Laracuente, M. S. "Therapeutic Engagement With Partner-Abusive Fathers". Family Journal 25, n. 4 (12 settembre 2017): 383–88. http://dx.doi.org/10.1177/1066480717731221.

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Excluding partner-abusive fathers from an intimate partner violence (IPV)-exposed child’s mental health treatment without exercising due diligence may be contraindicated. It is known that fathers with antisocial characteristics can be detrimental to a child’s development; however, research also shows that fathers are as important as mothers to the healthy development of children. Due to this dichotomy, working with IPV-exposed children and their families deserves an idiographic approach. By using a case vignette, steps are delineated and recommendations offered to develop a model for the safe engagement of partner-abusive fathers into an IPV-exposed child’s treatment.

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Wilkinson, Brett D., e Fred J. Hanna. "Using the Precursors Model of Change to Facilitate Engagement Practices in Family Counseling". Family Journal 26, n. 3 (luglio 2018): 306–14. http://dx.doi.org/10.1177/1066480718795502.

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Many evidence-based family counseling approaches include an engagement phase of treatment. Such motivation-focused treatment practices may benefit from a conceptual model that highlights common client change mechanisms and relevant interventions. Addressing seven empirically validated change factors, the precursors model provides counselors with a relevant taxonomy for further understanding, addressing, and enhancing family engagement in counseling. It is suggested that exposing practitioners to the precursors model of change may serve to improve treatment outcomes, thereby benefiting both clients and the evidence-based practice movement in family counseling. The precursors model taxonomy is explained, and corresponding interventions are explored in the context of a case vignette.

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Carl, Lena C., Martin Schmucker e Friedrich Lösel. "Predicting Attrition and Engagement in the Treatment of Young Offenders". International Journal of Offender Therapy and Comparative Criminology 64, n. 4 (27 settembre 2019): 355–74. http://dx.doi.org/10.1177/0306624x19877593.

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Premature treatment termination in offender treatment is linked to negative consequences for clients, practitioners, and the criminal justice system. Therefore, identifying predictors of treatment attrition is a crucial issue in offender rehabilitation. Most studies on this topic focus on adult offenders; less is known about adolescent offenders. In our study, therapy attrition and engagement were predicted via logistic and linear regression to examine the link between pretreatment variables, engagement, and treatment failure in 161 young offenders treated in a social-therapeutic unit in Germany. Engagement could be predicted by motivation, disruptive childhood behavior, low aggressiveness, and higher age. In turn, low motivation, substance abuse, and young age predicted attrition, but their impact diminished when engagement was added to the model with only substance abuse remaining significant. The effect of substance abuse on attrition disappeared, when the offender’s initial motivation was high. Implications for assessment and treatment planning are discussed.

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Più fonti

Tesi sul tema "Treatment engagement model"

Altman, Adrianne. "Relations between Child Molesters' Self-Perceptions and Treatment Engagement". Thesis, University of North Texas, 2001. https://digital.library.unt.edu/ark:/67531/metadc3067/.

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Researchers emphasize the role of cognitions in sex offenders' molesting behaviors. Although cognitions are important, little research has examined child molesters' thoughts about themselves in relation to their engagement in treatment. In this study, the NEO-Personality Inventory (NEO-PI-R) was administered to 67 child molesters. Child sexual offenders rated themselves and their view of a typical child molester using two NEO-PI-R versions. The degree to which child sex offenders identify themselves with their view of a typical child molester, and this agreement's relation with engagement in treatment, were investigated. The view that child sex offenders hold about themselves in relation to a typical child molester showed no relation to treatment engagement or length of time in treatment. However, this self-perception was related to the number of children abused.

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Kennedy, Judith Ronelle Graduate Program in Professional Ethics School of Philosophy UNSW. "The treatment engagement model as a tool for identifying problematic doctor behaviour. Three case studies". Awarded by:University of New South Wales. Graduate Program in Professional Ethics, School of Philosophy, 2006. http://handle.unsw.edu.au/1959.4/28220.

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This thesis is an exploration of professional behaviour in health care settings, using a Model of Treatment Engagement that is developed as a tool for ethics critique. The Model is tested and refined using data on: a psychiatric ???treatment??? carried out on over 1,127 occasions in a 15 - 40 bed non-acute hospital during the period 1961-1979; the problematic withdrawal of all life-support from a 37 year old man who had suffered acute brain trauma some five days previously, in a tertiary hospital in March 2000; and a clinical experiment recently proposed for the emergency setting and intended to encompass five hospitals and the NSW Ambulance Service. In each case, the Model proves useful in identifying the shift from the treatment paradigm and the ethical imperative of ensuring the patient (or his/her agent) appreciates the difference between what is proposed and what would normally be done. It reveals how doctors who dealt with the patient but did not decide on treatment contributed to ethically troublesome practice. It clarifies how having multiple doctor players in the treatment situation gave rise to the need to suppress dissenting views. Doctors who were close enough to the action to comprehend its nature, by not dissenting, reinforced the problematic choice for the actor and validated it in the eyes of observers. The lack of dissent at the level of doctors working under supervision, appeared to be a function of institutional arrangements. At the consultant level, there was evidence of pressure to concur from other consultants and indirect evidence of a fear of ostracism. The public responses in the two modern cases point to there being a strong idea in Sydney???s medical community that dissent should not be publicly displayed once a decision on how to treat has been made. I conclude there are two steps to reviewing ethically problematic treatment situations. The first consists of identifying the shift from the treatment paradigm. The second consists of establishing why the problematic choice is translated into action. The Treatment Engagement Model is put forward as a useful tool for both these analyses.

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Nkhwashu, Tinyiko Enneth. "Creating a model of convergence and engagement between African indigenous health and biomedical system regarding tuberculosis (TB) treatment". Thesis, University of Pretoria, 2016. http://hdl.handle.net/2263/61666.

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Introduction: Around 80% of the population in sub-Saharan Africa use indigenous medicine when ill, before consulting biomedical health practitioners, and many only consult doctors when their disease is at an advanced stage or the indigenous medicine has failed. The rise in TB infection has led the South African government to consider collaboration between African indigenous health and biomedical health practitioners in order to counter a pandemic among communities. The World Health Organisation (WHO) advocates incorporating African indigenous health and biomedical health practitioners to promote quality service delivery among the communities. Support for cooperation between these health practitioners was promoted in South Africa with the passing of the Traditional Health Practitioners Act of 2007 (Act. 22 of 2007) to promote collaboration. The government introduced programmes and models of health promotion related to TB management but they focussed on the prevention of the disease, promotion of health, and programmes about HIV/AIDS rather than on how a model of convergence and engagement between the African indigenous health and biomedical health practitioners regarding treatment of TB should be created. Research design and methods: A qualitative, exploratory, descriptive and contextual research design was used. The study conducted within the biomedical health and African indigenous health practitioner's context and was conducted in three phases. Non-probability, purposive sampling was used to choose a population that comprised three groups of participants, namely, biomedical health practitioners, African indigenous health practitioners and supporters of direct observed treatment (DOT).The sample size was large enough to determine differences between groups. The researcher conducted in-depth individual interviews and focus group to explore and describe their views regarding convergence and engagement about the treatment of TB. Questions were asked following the interview guide until data saturation occur. Data analysis was conducted following Tesch method. Findings: The study found they perceived the treatment of TB differently, largely because of cultural diversity, for instance, differing beliefs and worldviews that had an impact on understanding the meaning of concepts such as disease, illness and wellness. Some believed that it was caused by witchcraft, others the result of cleansing rituals not having been carried out. It was also believed that Isidliso entered the victim while sleeping, in the form of food. Thus, the development of the model of convergence and engagement between the biomedical health and African indigenous health practitioners will sort out the myths that is in the mind of the people regarding the cause of TB. Conclusion: The model of convergence and engagement between the biomedical health and African indigenous health practitioners regarding the tuberculosis (TB) treatment was developed following the steps proposed by Dickoff, James and Wiedenbach and Walker and Avant.
Thesis (PhD)--University of Pretoria, 2016.
Nursing Science
PhD
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Helm, R. Brandon. "An analysis of a self-determination treatment model promoting increased task engagement of students with disabilities : a dissertation presented to the faculty of the Graduate School, Tennessee Technological University /". Click to access online version, 2006. http://proquest.umi.com/pqdweb?index=90&did=1260804511&SrchMode=1&sid=1&Fmt=6&VInst=PROD&VType=PQD&RQT=309&VName=PQD&TS=1255463320&clientId=28564.

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Hrouda, Debra R. "Factors Associated With Readiness For Treatment In A Sample Of Substance-Dependent, Trauma-Exposed Incarcerated Women". Case Western Reserve University School of Graduate Studies / OhioLINK, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=case1401824178.

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Surace, Francisco I. "Determined Wellness| The Influence of Mental Illness Models Upon Treatment Outcome Expectancies and Treatment Engagement". Thesis, University of Massachusetts Boston, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10262696.

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Multiple campaigns geared towards reducing public and self-stigma associated with depression, and increasing help-seeking behaviors have been launched in the past two decades. There has been an increase in promoting psychoeducation on the biological bases of mental illness. Recent international studies have documented that this increase in public knowledge has not reduced stigma. Indeed, growing evidence suggests that biological models, in comparison to other causal models of mental illness, decrease people’s sense of self-efficacy and self-control, and decrease positive expectancies of treatments and prognosis–among those with and without mental illness. Individuals who have come in contact with health services, however, hold more positive and realistic expectancies of treatments than those who have not. Therefore, adequate education about mental illness and its treatment by providers is key at improving treatment expectancies and engagement. Results documented that biological explanations increased biological causes and reduced endorsement of social and psychological causes, led to decreases in endorsement of non-professional help, and increased endorsement of positive outcome expectancies for attending psychotherapy. Second, psychosocial explanations increased endorsement of social causes, increased likelihood in engaging in psychotherapy, and increased endorsement of positive outcome expectancies for attending psychotherapy and taking psychiatric medications. Third, biopsychosocial conditions produced increases in endorsement of taking psychiatric medications and increased endorsement of positive outcome expectancies for attending psychotherapy. Fourth, control condition increased endorsement of taking psychiatric medications and increased endorsement of positive outcome expectancies for attending psychotherapy. There was no interaction effect of self-stigma for attending psychotherapy or taking psychiatric medications; however, main effects of time suggest that self-stigma for attending psychotherapy and taking psychiatric medication reduced across time. Moreover, after treatment education there were no interactions between time and condition. However, main effects of time showed increased likelihood taking psychiatric medications and decreased likelihood seeking non-professional help, increases positive outcome expectancies of treatment, and decrease in self-stigma for seeking treatment. The findings of the current study suggest that biologically based psychoeducation of depression may hinder patients. It is most optimal to include and highlight the effect of psychosocial factors of depression through psychoeducation campaigns.

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Libri sul tema "Treatment engagement model"

Rogers, Sally J. early start Denver model for young children with autism: Promoting language, learning, and engagement. New York: Guilford Press, 2010.

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Geraldine, Dawson, a cura di. Early Start Denver Model for young children with autism: Promoting language, learning, and engagement. New York: Guilford Press, 2010.

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Rogers, Sally J. early start Denver model for young children with autism: Promoting language, learning, and engagement. New York: Guilford Press, 2010.

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Dawson, Geraldine, e Sally J. Rogers. Early Start Denver Model for Young Children with Autism: Promoting Language, Learning, and Engagement. Guilford Publications, 2020.

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Miskowiak, Kamilla W., e Lars V. Kessing. Cognitive enhancement in bipolar disorder: current evidence and methodological considerations. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780198748625.003.0026.

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Cognitive dysfunction is an emerging treatment target in bipolar disorder (BD). Numerous trials have assessed the efficacy of novel pharmacological and psychological treatments on cognition. Overall, the results are disappointing, possibly due to methodological challenges. A key issue is the lack of consensus on whether and how to screen for cognitive impairment and on how to assess efficacy. We suggest that screening for cognitive impairment is critical and should involve objective neuropsychological tests. We also recommend that the primary outcome is a composite of neuropsychological tests with socio-occupational function as co-primary or secondary outcome. Trials should include fully or partially remitted patients, ensure that concomitant medication is kept stable and that statistical methods include mixed models or similar ways to take account of missing values. Future treatment development should implement a ‘circuit-based’ neuroimaging biomarker model to examine neural target engagement. Interventions targeting multiple treatment modalities may also be beneficial.

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Lloyd, Howell A. Humanist Engagements. Oxford University Press, 2017. http://dx.doi.org/10.1093/oso/9780198800149.003.0003.

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Bodin arrived in Toulouse c.1550, a brief account of the economy, social composition, and governmental institutions of which opens the chapter. There follow comments on its cultural life and identification of its leading citizenry, with remarks on the treatment of alleged religious dissidents by the city itself, and especially on discordant intellectual influences at work in the University, most notably the Law Faculty and the modes of teaching there. The chapter’s second part reviews Bodin’s translation and edition of the Greek poem Cynegetica by Oppian ‘of Cilicia’, assessing the quality of his editorial work, the extent to which allegations of plagiarism levelled against him were valid, and the nature and merits of his translation. The third section recounts contemporary wrangling over educational provision in Toulouse and examines the Oratio in which Bodin argued the case for humanist-style educational provision by means of a reconstituted college there.

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Koslicki, Kathrin. Artifacts. Oxford University Press, 2018. http://dx.doi.org/10.1093/oso/9780198823803.003.0009.

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This chapter continues the examination of the special features of artifacts by discussing their place within existing essentialist and anti-essentialist frameworks. It will be argued that prominent essentialist treatments of artifacts, such as those proposed by Amie Thomasson, Simon Evnine, and Lynne Rudder Baker, are susceptible to the concern that they exaggerate the creative and discriminating power of human intentions. Existing anti-essentialist frameworks, however, tend to trace the ascriptions of modal features to objects back to our semantic, inferential, or explanatory practices and are therefore also not particularly well suited to capture the primarily practical and action-based orientation of our engagement with the realm of artifacts. For the time being, the special case of artifacts eludes an entirely satisfactory treatment and must await the further development and refinement of suitable essentialist and anti-essentialist frameworks before the status of artifacts within a hylomorphic ontology can be fully resolved.

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Hyman, Steven E. The neurobiology of addiction as a window on voluntary control of behavior and moral responsibility. Oxford University Press, 2017. http://dx.doi.org/10.1093/oso/9780198786832.003.0024.

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Many laboratories, working worldwide on both animal models and human subjects, have produced significant insights into the neurobiological mechanisms that underlie drug addiction. Addictive drugs produce pathologic activation of brain reward circuits, resulting in long-term alterations in brain circuitry involved in decision-making and control of behavior. The result is a loss of control over drug seeking and engagement in compulsive drug use despite negative consequences. This scientific view is in tension with moral models that see drug use by addicted people as a matter of errant choice combined with inadequate efforts at control. This chapter explores the implications of these models for moral responsibility and legal culpability, and discusses the urgent need for advances in treatment.

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Gibbons, Katy. English Catholics and the Continent. A cura di Malcolm Smuts. Oxford University Press, 2016. http://dx.doi.org/10.1093/oxfordhb/9780199660841.013.21.

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As Jane Kingsley-Smith has demonstrated, the prominence of exile in Shakespeare’s canon was influenced by contemporary debates as well as literary models (Shakespeare’s Drama of Exile, 2003). Exile was highly topical in the late sixteenth and early seventeenth centuries, not least because of the presence of English Catholics overseas, particularly in France, the Low Countries and Spain. This had consequences for the development of Catholic identity, and for the ways in which Catholics interacted with English Protestant society, as well as the Catholic continent. This chapter explores the engagement of English Catholics with continental Europe, including the polemic produced in exile, and how this informed political issues in England. More specifically in relation to Shakespeare’s plays, it discusses how the treatment of exile inRichard IImay have been suggestive of contemporary debates about English Catholics overseas.

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Greenberg, Lyn R., Barbara J. Fidler e Michael A. Saini, a cura di. Evidence-Informed Interventions for Court-Involved Families. Oxford University Press, 2019. http://dx.doi.org/10.1093/med-psych/9780190693237.001.0001.

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Children at the center of high conflict divorce and/or child protection cases face increased risks to both current and future health and adjustment. There is a growing research base regarding these risks and the coping abilities skills that children need for successful adjustment, but training gaps and poorly structured services continue to be serious problems. The specific characteristics of these families, and risks faced by these children, underscore the importance of treatment, psychoeducation, and other services adapted to this population and directed to minimizing risks and promoting healthy functioning, autonomy, and resilience for these children. This book provides a critical, research-informed analysis of the core factors to include when developing child-centered approaches to therapy and other family interventions, both in the formal treatment setting and promoting healthy engagement with the other systems and activities critical to children’s daily lives. The book addresses common problems, obstacles, and the backdrop of support from other professionals or the court, which may be necessary for successful intervention. An international team of renowned authors provide chapters covering a variety of service models and drawing on a wide range of relevant research and literature, addressing the legal context, central issues for treatment and other services, and specialized issues such as trauma, family violence, parent–child contact problems, and children with special needs. The book assembles in one place the best of what is known about intervention for court-involved families, along with practical guidance for using relevant research, understanding its limitations, and matching service plans to families’ needs.

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Capitoli di libri sul tema "Treatment engagement model"

Castelnuovo, Gianluca, Giada Pietrabissa, Gian Mauro Manzoni, Stefania Corti, Margherita Novelli, Maria Borrello, Emanuele Maria Giusti et al. "A Stepped Care mHealth-Based Approach for Promoting Patient Engagement in Chronic Care Management of Obesity with Type 2 Diabetes". In Transformative Healthcare Practice through Patient Engagement, 192–214. IGI Global, 2017. http://dx.doi.org/10.4018/978-1-5225-0663-8.ch008.

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Diabesity could be defined as a new global epidemic of obesity and being overweight with many complications and chronic conditions. The financial direct and indirect burden of diabesity is a real challenge in many Western health-care systems. Even if multidisciplinary protocols have been implemented, significant limitations in the chronic care management of obesity with type 2 diabetes concern costs and long-term adherence and efficacy. mHealth approach could overcome limitations linked with the traditional, restricted and highly expensive in-patient treatment of diabesity. The mHealth approach could help clinicians by motivating patients in remote settings to develop healthier lifestyles and could be implemented in the Chronic Care Model. A practical stepped-care model for diabesity, including mhealth approach and psychological treatments with different intensity, is discussed.

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Bevington, Dickon, Peter Fuggle, Liz Cracknell e Peter Fonagy. "Future ambitions for the AMBIT project". In Adaptive Mentalization-Based Integrative Treatment, 374–92. Oxford University Press, 2017. http://dx.doi.org/10.1093/med-psych/9780198718673.003.0011.

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The evidence for AMBIT is described, together with our intentions regarding future development and dissemination. Existing evidence, and its limits, is sketched out. Challenges for future data collection/analysis are highlighted in relation to a “model” that is, by design, broad and adaptable, rendering “fidelity” difficult to define in conventional terms. Opportunities for meaningful randomized trials are limited, but possible. A description of AMBIT’s strategy for future model development (referencing open-source computing, learning organizations, and quality improvement models) concludes with a summary of AMBIT’s “evidence-informed” approach. AMBIT’s role as a learning system is supported by innovative web-based collaborations (for instance POD, a pooled online data system). Diverse training methods and reflective self-audit questions for teams considering training are described. Skepticism about how conventional trainings could ever create the necessary “step change” in services is balanced by the opportunities for dissemination offered by web-based learning and devolved engagement of a community of practice.

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Rothbaum, Barbara Olasov, Edna B. Foa e Elizabeth A. Hembree. "Anticipating and Solving Problems". In Reclaiming Your Life from a Traumatic Experience: Workbook, 57–64. Oxford University Press, 2007. http://dx.doi.org/10.1093/med:psych/9780195308488.003.0006.

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Chapter 6 discusses common problems that may interfere with treatment, how to anticipate and solve problems and difficulties that may occur, the importance of the PE treatment model, methods of implementing effective in vivo and imaginal exposure (modifications to in vivo and imaginal exposure, under-engagement, and over-engagement) and other obstacles to successful exposures (avoidance, anger, and negative emotions).

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Taneja, Anjali, e William Wagner. "Transforming Opioid Addictions Care in New Mexico: Combining Medication Treatment with Patient Autonomy, Civic Engagement and Integrative Healing". In Leading Community Based Changes in the Culture of Health in the US - Experiences in Developing the Team and Impacting the Community. IntechOpen, 2021. http://dx.doi.org/10.5772/intechopen.98463.

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Opioid addiction is a complex issue. New Mexico has historically experienced some of the highest rates of deaths from opioid overdose, and opioid addictions have affected generations of New Mexicans -- starting many years before the more recent national crisis. Treatment approaches to opioid and other addictions are fraught with paternalism, stigma, surveillance, criminalization, shaming, racism, discrimination, and issues with access to care. Current treatment paradigms fail to take into account the social and economic factors of people, community, and context. New paradigms embracing a broader, more-just contextualization of addictions, along with evidence-based treatment approaches are needed to transform medicine’s historic role in the “war on drugs”. The Strong Roots/Raices Fuertes program was developed by two community clinics, Casa de Salud and Centro Sávila, in Albuquerque, New Mexico. The program evolved from a desire to to acknowledge and right historical harms that the medical-industrial complex has caused; to provide rapid access to dignified, life-saving, evidence-based holistic treatment for opioid addictions in a community setting; and to build a model of care that transforms the biomedical model into one of solidarity with community and collective care. Five key concepts underpin the program design: 1) Harm Reduction, Autonomy, and Agency; 2) Healing-Centered Engagement; 3) Language and Cultural Humility; 4) Transforming Health Systems Design; 5) Workforce Diversity and Pipeline Training. The program’s core components include conventional approaches such as low-barrier access buprenorphine (suboxone®) to medication treatment, primary care, case management, syringe exchange, and counseling/therapy in addition to more community-rooted and integrative healing modalities such as healing circles, acupuncture, massage, reiki, ear acudetox, and civic engagement. In sharing the values, lessons learned, and tools from our work in the Strong Roots/Raices Fuertes program, we hope to inspire and encourage others wishing to develop new systems of care for people dealing with addiction issues.

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Kaneriya, Shriya, K. Rivet Amico e Antoine Douaihy. "Motivational Interviewing and the Continuum of HIV Care in Practice". In Motivational Interviewing in HIV Care, a cura di Antoine Douaihy e K. Rivet Amico, 29–34. Oxford University Press, 2019. http://dx.doi.org/10.1093/med/9780190619954.003.0004.

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Advances in HIV treatment have transformed a nearly universally fatal disease into a manageable long-term medical condition. Treatment, however, requires long-term, active engagement and self-directed adherence to HIV medications, which can be challenging to manage. Factors influencing HIV management are multilevel and best understood from an interdisciplinary framework. This chapter reviews the interdisciplinary care model for HIV management, discusses barriers interfering with positive health outcomes in people living with HIV (PLWH), and positions motivational interviewing (MI) as particularly well suited to optimizing outcomes in an interdisciplinary context. This chapter advocates for the integration of MI into the care of PLWH throughout the HIV care continuum.

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Fritz, Johannes. "Two Models of Online Petitioning in the United Kingdom". In Advances in Human and Social Aspects of Technology, 319–34. IGI Global, 2014. http://dx.doi.org/10.4018/978-1-4666-6066-3.ch019.

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The chapter identifies two models of petitioning in the United Kingdom. One is found at the devolved legislatures in Scotland and Wales, the other on the Prime Minister's Website. Differences between these petition systems are analyzed with respect to their political and institutional context, functionality, use, and impact on politics. The model in Scotland and Wales evolved from the context of devolution and the desire of the new institutions to distance themselves from the Westminster Parliament. Their petition systems offer petitioners a detailed treatment of their petitions by specialised petition committees. Petitions are generally assessed in qualitative terms and received in small numbers. The second model on the Prime Minister's (2006-2010) and the coalition government's Website (since 2011) is used to collect popular demands as part of an e-engagement strategy reflecting the dominant position of the Prime Minister within the UK political system. The system focuses on quantitative criteria to identify successful petitions.

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Painter, Kirstin, e Maria Scannapieco. "Framework for Understanding and Treating Mental Health Problems". In Understanding the Mental Health Problems of Children and Adolescents, 14–25. Oxford University Press, 2021. http://dx.doi.org/10.1093/oso/9780190927844.003.0002.

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This chapter focuses on five important components when working with children with mental health problems and their families. The ecological systems model recognizes the dynamic two-way relationship between the systems that affect the youth’s environment and the youth’s responses to those effects and the factors that may facilitate or impede the child’s environmental adaptation. Systems of care is a service delivery method where youth and their families are seen as capable and equal to the professionals in the treatment decision-making process. Evidence-based practices and programs are interventions and programs that incorporate strongly supported evidence-based practices while also encouraging the combination of individual skills and uniqueness. Cultural humility is a multiperspective approach to working with diverse populations, one based on the understanding of the importance of diverse cultures, beliefs, values, and morals. Finally, engagement and strengths-based practices encourage an exhaustive examination of many factors that may prevent effective engagement between the social worker and his or her clients.

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Bora, Emre, Mahesh Jayaram e Christos Pantelis. "Prevention and early intervention in psychotic disorders". In New Oxford Textbook of Psychiatry, a cura di John R. Geddes, Nancy C. Andreasen e Guy M. Goodwin, 628–38. Oxford University Press, 2020. http://dx.doi.org/10.1093/med/9780198713005.003.0063.

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This chapter considers treatment approaches in early psychosis and the possibility of prevention prior to the development of illness. The chapter first considers the various definitions of the pre-psychotic state, including prodrome, and the concept of clinical high-risk (CHR) groups. The CHR groups, including the ultra-high-risk (UHR) and basic symptoms (BS) groups aim to identify individuals at imminent risk of transitioning to full-blown psychosis. Further, the chapter summarizes the notion of a staging model for psychosis, which incorporates these earliest pre-psychosis stages, and considers the onset and progression of the illness to chronicity, with differing intervention options for each stage. The relevance of interventions targeting non-specific risk factors, such as trauma, stress, bullying, drug abuse, and migration, in the early years is considered. The chapter discusses possible interventions to prevent or delay psychosis onset or progression (for example, prenatal choline or vitamin D), and public health measures at the population level. It also explores the issues relating to drug prescribing in the pre-psychosis stage and outlines controversies regarding the risk–benefit ratio and ethics of these pre-emptive strategies. Models of care aimed to reduce the duration of untreated psychosis may prove useful. Integrative treatment in early psychosis has been more successful than ‘treatment as usual’ in reducing symptoms, relapse rates, and improving engagement. Early detection and intervention services and public awareness campaigns are key to primary prevention. Studies that investigate trajectories of symptom development and emergence of psychosis are needed, in order to evaluate the effectiveness of pre-emptive and later interventions.

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Whitehead, Anne. "Empathy and Interdisciplinarity". In Medicine and Empathy in Contemporary British Fiction, 91–124. Edinburgh University Press, 2017. http://dx.doi.org/10.3366/edinburgh/9780748686186.003.0004.

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This chapter asks how, in the context of the medical humanities, we might productively think across disciplinary domains and boundaries. It draws on Ian McEwan’s Saturday as a focus for positioning the question of interdisciplinarity within a specifically British context. The first section, ‘The two cultures’, surveys the ‘two cultures’ debate and its legacy and discusses the appearance of Matthew Arnold’s poem ‘Dover Beach’ at a critical point of the novel. In the second section, ‘A third culture?’, the focus turns to McEwan’s engagement with popular science discourses and argues that it underpins a discernible conservatism in his work. The final section, ‘An unbounded view’, reads Saturday against the grain to argue that, in McEwan’s treatment of dementia a more positive, open-ended model for thinking across the arts and sciences might be seen to emerge.

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Milne, Alisoun. "Conceptualising dementia". In Mental Health in Later Life, 165–98. Policy Press, 2020. http://dx.doi.org/10.1332/policypress/9781447305729.003.0010.

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The way dementia is conceptualised influences the wellbeing and treatment of people living with the condition. The traditional neuro-degenerative model has increasingly been challenged. Significant contributions include the 1970’s concepts of malignant social psychologv and personhood, the 1990’s drive to engage with the social model of disability, and the recent development of the social citizenship approach. Not only has this new paradigm widened the conceptual lens through which dementia is viewed but it has incorporated issues, beyond the biomedical, that extend our understanding of dementia as a situated condition and lived experience. It is situated in relationships, a lifecourse and a socio-political context and is shaped by inequalities and limited engagement with rights and social justice. Dementia is a multi-dimensional phenomenon and requires a response that addresses its clinical, psychological, social and political dimensions. The new paradigm helps re-focus policy, care and research on the person rather than the condition; relocates the ‘problem’ from the individual to societal structures, attitudes, policy and services; demands new forms of critical practice; and engages with the perspectives of people living with dementia. Whilst there are dementia specific policies in the UK they have limited legal traction and are not integrated with other relevant policies.

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Atti di convegni sul tema "Treatment engagement model"

"Systematic Improvement of User Engagement with Academic Titles Using Computational Linguistics". In InSITE 2019: Informing Science + IT Education Conferences: Jerusalem. Informing Science Institute, 2019. http://dx.doi.org/10.28945/4338.

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Aim/Purpose: This paper describes a novel approach to systematically improve information interactions based solely on its wording. Background: Providing users with information in a form and format that maximizes its effectiveness is a research ‎question of critical importance. Given the growing competition for ‎users’ attention and interest, it is agreed that digital content must engage. However, there are no clear methods or ‎frameworks for evaluation, optimization and creation of such engaging content. Methodology: Following an interdisciplinary literature review, we recognized three key attributes of words that drive user engagement: (1) Novelty (2) Familiarity (3) Emotionality. Based on these attributes, we developed a model to systematically improve a ‎given content using computational linguistics, natural language processing (NLP) and text analysis (word frequency, sentiment analysis and lexical substitution). We conducted a pilot study (n=216) in which the model was used to ‎formalize evaluation and optimization of academic titles. A between-group design (A/B testing) was used to compare responses to the ‎original and modified (treatment) titles. Data was collected for selection and evaluation (User Engagement Scale). Contribution: The pilot results suggest that user engagement‎ with digital information is ‎fostered by, and perhaps dependent upon, the wording being used. They also provide empirical support that engaging content can be systematically evaluated and produced. Findings: The preliminary results show that the modified (treatment) titles had significantly higher scores for information use and user engagement (selection and evaluation). Recommendations for Practitioners: We ‎propose that computational linguistics is a useful approach for optimizing information interactions. The ‎empirically based insights can inform the development of digital content strategies, ‎thereby improving the ‎success of information interactions. ‎ Recommendations for Researchers: By understanding and operationalizing ‎content strategy and engagement, we can ‎begin to ‎focus efforts on designing interfaces which ‎engage users with features ‎‎‎appropriate to the task and context of their interactions. This study will benefit the ‎information science field by ‎enabling researchers ‎and practitioners ‎alike to ‎understand the dynamic relationship ‎between users, computer applications and ‎tasks, ‎how to ‎assess whether ‎engagement is taking place and how to design ‎interfaces that ‎engage ‎users.‎ Impact on Society: This research can be used as an important starting point for ‎understanding ‎the phenomenon of digital ‎information interactions and the factors that promote ‎and facilitates them. It can also aid in the ‎‎development of a broad framework for systematic evaluation, ‎optimization, and creation of effective digital ‎content. ‎ Future Research: Moving forward, the validity, reliability and generalizability of ‎our model should be tested in various ‎contexts. In future research, we propose to include additional linguistic factors and ‎develop more ‎sophisticated interaction measures. ‎

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Etheridge, Michael, Harishankar Natesan, Radek Lopusnik e Adam Cates. "Development and Validation of Numerical Model Simulation for RF Ablation Using the Isolator Synergy Clamp". In 2018 Design of Medical Devices Conference. American Society of Mechanical Engineers, 2018. http://dx.doi.org/10.1115/dmd2018-6949.

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Thermal ablation is rapidly becoming a standard of care for the treatment of atrial fibrillation (AF), a cardiac disorder characterized by irregular heart rhythm and estimated to impact more than 33 million people worldwide [1]. AtriCure is a company that specializes in epicardial ablation for AF and here we describe the development of a numerical model to study the performance of the Isolator® Synergy™ Clamp bipolar radiofrequency (RF) device. The clamp device features two jaws with embedded electrode pairs, which are used to secure the tissue by clamping across the left atrium (as shown in Figure 1). Energy is applied between the bipolar electrodes at approximately 460 kHz through an impedance-based control algorithm and is additionally duty-cycled between the pairs to further distribute the heating. Patient anatomies vary greatly and measured impedance will depend on atrial wall thickness, epicardial fat, electrode-tissue engagement, and structural variations. Further, tissue conductivity (inversely related to impedance) increases as the tissue is heated, leading to a complicated process, where the heat generation depends on the impedance, which in turn is a strong function of temperature. Energy delivery continues until a phase change in the tissue’s water content occurs, producing a sharp increase in impedance and termination of the ablation. Therefore, since tissue impedance and heating drive the device’s performance, a majority of the effort described here focuses on the validation work done to ensure the model is based on an accurate description of the tissue properties and response. While previous modeling of RF ablation often does include temperature-dependence of tissue properties, the referenced values vary notably and rarely include direct validation of modeling results to benchtop data. Variations in anatomy and fat content can dramatically impact the energy delivery and patient-to-patient treatment efficacy, so an accurate description of the tissue response is critical to understanding the limitations of current energy delivery algorithms and provides an invaluable tool in designing more efficacious ablation devices and algorithms.

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Dias, Lucas Pfeiff er Salomão, e Jorge Luis Victória Barbosa. "iAWARE: Um modelo para Cuidado ubíquo de Pacientes com Transtornos de Ansiedade, Depressão e Estresse utilizando Gamificação e Biodata". In XXV Simpósio Brasileiro de Sistemas Multimídia e Web. Sociedade Brasileira de Computação - SBC, 2019. http://dx.doi.org/10.5753/webmedia_estendido.2019.8130.

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Depression and anxiety are the most prevalent mental disorders, reaching million people worldwide. As they share many characteristics these two disorders can manifest themselves together. In addition, stress is one of the related factors with both depression and anxiety, being relevant in the analysis of these disorders. This paper proposes a model for ubiquitous care of patients with depression, anxiety and stress disorders (DASD) using gamification and biodata, called iAware. A/B tests evaluated with a clinical population the interaction engagement of the patient to the treatment provided by gamification. Based on the patient’s history, the iAware monitors and applies interventions for the patient at the most appropriate time. Six patients used a prototype with a smartband for two weeks to evaluate iAware. Interactions with intervention stages were greater in patients who used iAware gamified. A more detailed analysis is still required. The evaluated patients got more occurrences of anxiety at home. The patients also filled out a survey based on the Technology Acceptance Model (TAM). TAM results show that patients have found the iAware useful in their anxiety treatment routines.

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Rosati, Giulio, James E. Bobrow e David J. Reinkensmeyer. "Compliant Control of Post-Stroke Rehabilitation Robots: Using Movement-Specific Models to Improve Controller Performance". In ASME 2008 International Mechanical Engineering Congress and Exposition. ASMEDC, 2008. http://dx.doi.org/10.1115/imece2008-68234.

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Post-stroke neurorehabilitation is an emerging application field of robotics, aiming to design new treatment systems and protocols based on the use of robotic technology and virtual reality to improve patient recovery after stroke. One goal in this field is to develop robotic therapy devices that are compliant but can still assist weakened patients in making desired movements. It is hypothesized that, in this way, the interaction with the robotic system can maintain patient engagement and effort, and promote and stimulate the motor learning process of the patient. One way that has been proposed to maintain compliance while assisting weak patients is to use an adaptive controller with a forgetting term, which allows the robotic system to learn a model of the forces needed to assist the patients during exercises while encouraging patient effort. A limitation of such an approach is that the adaptive gain must be large enough to rapidly change the model for different target movements, which decreases the compliance of the robot. We show here in simulation that by building independent models for different target movements, robot compliance can be increased while still accurately achieving the target movements.

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Chen, Zhengshan, Huimin Geng, Clifford A. Lowell, Stephen P. Hunger e Markus Müschen. "Abstract PR11: Targeted engagement of B cell autoimmunity checkpoints to overcome drug resistance in pediatric Ph-like ALL". In Abstracts: AACR Special Conference: Advances in Pediatric Cancer Research: From Mechanisms and Models to Treatment and Survivorship; November 9-12, 2015; Fort Lauderdale, Florida. American Association for Cancer Research, 2016. http://dx.doi.org/10.1158/1538-7445.pedca15-pr11.

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Doudican, Brad, Wyatt Elbin e Bethany Huelskamp. "Lead From Behind: Enabling Partnerships to Bring Clean Water to Caliche, Honduras". In ASME 2012 International Mechanical Engineering Congress and Exposition. American Society of Mechanical Engineers, 2012. http://dx.doi.org/10.1115/imece2012-87435.

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The common model for engineers’ engagement in philanthropic development work is to find a community with a technical need, design the solution, raise funds for the solution, construct the solution, and hand the solution over to the community. While this approach has yielded many completed projects around the world, there are limits to the efficacy, sustainability, and long-term enabling potential to this approach. The Dayton Service Engineering Collaborative, or DSEC, takes an alternative approach to philanthropic community development which is demonstrated via a case study in bringing clean water for drinking and agricultural purposes to Caliche, Honduras. Caliche, an impoverished village of approximately 350 people located in central Honduras, had access to a mountain spring as a source of water until a 2009 earthquake sent the spring’s flow underground. As of late 2011, the village did not have a clean source of drinking water, utilizing collected rainwater and surface water ponds for all of their water needs. Waterborne illness and malady was prevalent, with severe consequences to the young and the elderly. After a survey of the geography, the resources of the local people, and partner institutions, a community-scale biosand filtration system with requisite delivery structures was proposed, accepted, and brought to design fruition. Design and implementation of a solution to the technical problem of water delivery and treatment, while rigorous and complex, is not out of the realm of practice for technical groups working in communities such as Caliche. The innovation in this project, however, was the “lead from behind” approach in the context of a best practice called asset-based community development. A multi-partner initiative led first and foremost by the community leadership, and through local institutions and power structures, was managed from distance. In addition to DSEC, partners in this project included a multi-national non-governmental organization (NGO), a financial investor, the Honduran government, several missionaries, the Caliche Water Council, a local landowner, the Caliche leadership known as the Patronado, and the local church. DSEC provided technical leadership and project oversight, ensuring that not only were the technical obstacles overcome, but that the community and local authorities were empowered to tackle future development projects with independent vision. It is through this enabling approach that impact beyond the immediate project is attained, and where DSEC believes the leadership potential of the engineer is fully realized.

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