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Lee, Aie-Rie. "The Quality of Social Capital and Political Participation in South Korea". Journal of East Asian Studies 10, n.º 3 (dezembro de 2010): 483–505. http://dx.doi.org/10.1017/s1598240800003702.
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Previous research claims that associational membership produces social capital. Employing the first wave of the Asian Barometer Survey conducted in 2003, this study investigates the development of social capital and its political consequences in South Korea. Rather than study simple association membership, I examine thequalityof civil society (defined as associational commitment and interaction) that individuals pursue through membership. This, I believe, provides a close test of the theoretical impact of social interactions on political participation. The findings indicate that there is a positive association between voluntary activity and two modes of political activity (voting and campaign participation) in different ways and to varying degrees. Associational membership is a significant predictor of voting. In the case of the quality of social capital, associational interaction (talking politics with group members) turns out to be significant in encouraging participation in election campaigns. Overall, my findings on the role of social capital support Putnam's argument that group interactions foster democratic participation.
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Young, Kathleen J., e Whitney Boling. "Improving the Quality of Professional Life". Californian Journal of Health Promotion 2, n.º 1 (1 de março de 2004): 39–44. http://dx.doi.org/10.32398/cjhp.v2i1.579.
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Membership in national, regional, and state health education and promotion associations can be beneficial to the new and/or prospective academic professional. Association membership benefits include (but are not limited to) professional development opportunities for developing presentation skills, exposure to current research and pedagogy, career development, and networking. The purpose of this article is to 1) outline benefits of association membership for the new and/or prospective health educator, 2) provide a list of current health education and promotion associations, and 3) encourage membership and active participation in professional associations for the new, prospective, and/or seasoned health education and promotion professional.
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Sey, Michael, Sarah Cocco, Cassandra McDonald, Zaid Hindi, Hasibur Rahman, Debarati Chakraborty, Karissa French et al. "Association of Trainee Participation in Colonoscopy Procedures With Quality Metrics". JAMA Network Open 5, n.º 8 (31 de agosto de 2022): e2229538. http://dx.doi.org/10.1001/jamanetworkopen.2022.29538.
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Eshliki, Sajad Alipour, e Mahdi Kaboudi. "Perception of Community in Tourism Impacts and their Participation in Tourism Planning: Ramsar, Iran". Journal of ASIAN Behavioural Studies 2, n.º 4 (1 de julho de 2017): 59. http://dx.doi.org/10.21834/jabs.v2i4.207.
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The purpose of this study is to explore and analyze the relationship between effects of tourism on the quality of local community members’ life and the extent of their participation in tourism quality improvement programs. Beach of Ramsar in Iran is chosen as a case study. The result of analysis revealed that tourism influences the quality of local community members’ life. Also there is a significant relationship between factors affecting quality of community members’ life and their level of participation.
Keywords: community participations; tourism impacts, ramsar
eISSN 2514-7528 © 2017 The Authors. Published for AMER ABRA by e-International Publishing House, Ltd., UK . This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia.
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Haddade, Hasyim. "The Models of Community Participation towards Madrasa in Rural Regions". Al-Ubudiyah: Jurnal Pendidikan dan Studi Islam 3, n.º 1 (17 de junho de 2022): 103–15. http://dx.doi.org/10.55623/au.v3i1.248.
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This research investigates the models of community participation towards madrasa (Islamic schools) in rural regions. This mainly discusses how the models of community participation towards madrasa in Soppeng regency. The results of this study eventually show: First, the participation of community towards madrasa is diverse depending on what kinds of factors influence them. However, in some aspects, they consider madrasa must be both improved and empowered as well. Secondly, most of factors influencing the community participations towards madrasa are ideological, theological, sociological, academic, and economical factors. Third, the models of community participations towards madrasa bring the quality change. Fourth, the efforts of madrasa to improve and support the community participation include several ways. The implication of this research theoretically emphasizes that madrasa in South Sulawesi, particularly considered as educational institution with community based education, still needs strategic efforts of gaining better quality related to both physical environment and educational system. On the other side, it stresses the participation of community still needs to improve whether by madrasa committee, board of education, students’ parents and teachers association, or alumni organization.
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Kim, Hyeongsu, Sollip Kim, Yeo-Min Yun, Tae-Hyun Um, Jeonghyun Chang, Kun Sei Lee, Sail Chun, Kyu-Dong Cho e Tae-Hwa Han. "Status of Quality Control for Laboratory Tests of Medical Institutions in Korea: Analysis of 10 Years of Data on External Quality Assessment Participation". Healthcare 8, n.º 2 (27 de março de 2020): 75. http://dx.doi.org/10.3390/healthcare8020075.
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External quality assessment (EQA) is a commonly used tool to track the performance of laboratory tests. In Korea, EQA participation is not mandatory, and even basic data about EQA participation are not available. We used data of a 10-year period extracted from two databases (2009–2018): (1) the database of the National Health Insurance Service to calculate the number of medical institutions that claimed health insurance benefits, and (2) the database of the Korean Association of External Quality Assessment Service to calculate the number of medical institutions participating in EQA. The proportion of institutions that made claims for the performance of laboratory testing throughout the 10 years were 73.6%–76.0% for clinics, 91.9%–97.5% for long-term care hospitals, 97.9%–99.5% for small to medium hospitals, 99.6%–100% for general hospitals, and 100% for tertiary hospitals. The mean EQA participation rate of institutions that performed laboratory testing for the 10 years was 1.9% for clinics, 3.1% for long-term care hospitals, 27.7% for small to medium hospitals, 96.6% for general hospitals, and 100% for tertiary hospitals. The mean EQA participation of clinics, long-term care hospitals, and small to medium hospitals are increasing but is still not sufficient. Regulatory approaches are needed to increase participation rates. This result would be used for health policymaking on the quality improvement of laboratory tests.
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Shah, Shahrukh, Muhammad Aamir, Zujaja Haroon, Usman Munir, Afshan Bibi e Syed Raza jaffer. "Assessment of National External Quality Assurance Program of Pakistan (NEQAPP) as a tool for improving quality of lab results among participating laboratories". Journal of the Pakistan Medical Association 72, n.º 5 (10 de maio de 2022): 882–85. http://dx.doi.org/10.47391/jpma.3001.
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Objective: To assess the impact of the National External Quality Assessment Programme of Pakistan in improving the quality of laboratory results among the participating laboratories. Method: The cross-sectional observational study was conducted from July to December 2020 at the Department of Chemical Pathology and Endocrinology, Armed Forces Institute of Pathology, Rawalpindi, Pakistan, in association with the National Quality Assurance Programme of Pakistan. A survey questionnaire was developed and sent to the participating laboratories via email. Frequencies of their responses were calculated and data was analysed using SPSS 21. Results: Of the 150 laboratories approached, 145(96.6%) responded. Among them, 140 (96.6%) laboratories were satisfied by the information provided on the programme’s portal, 123(84.8%s) were pleased with the responsiveness of the programme manager, 140(96.6%) reported quality of services had improved after participation in the programme, 129(89%) indicated that the clinician’s confidence had enhanced, and 122(84%) said the participation in the programme had improved the credibility of their respective of laboratories. Conclusion: The National External Quality Assessment Programme of Pakistan was found to have significantly contributed in improving the quality of laboratory results among the participating laboratories.
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Sharma, Harsh, Vernon S. Pankratz, Wendy Demark-Wahnefried, Claire R. Pestak e Cindy K. Blair. "Association between Quality of Life and Physical Functioning in a Gardening Intervention for Cancer Survivors". Healthcare 10, n.º 8 (29 de julho de 2022): 1421. http://dx.doi.org/10.3390/healthcare10081421.
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Purpose: To examine potential factors associated with maintaining or improving self-reported physical function (PF) among older cancer survivors participating in a gardening intervention impacted by the Coronavirus 2019 (COVID-19) pandemic. Methods: Thirty cancer survivors completed a home-based gardening intervention to encourage a healthier diet and a more active lifestyle. Device-based measures of physical activity (PA) and surveys to evaluate quality of life (QOL; PROMIS-57 questionnaire) were administered at baseline, mid-intervention (6 months), and post-intervention (9 months). Results: Depression, fatigue, and sleeplessness at baseline were significantly associated with worse average PF scores across follow-up (2.3 to 4.9 points lower for every decrease of 5 points in the QOL score; p-values < 0.02). Worsening of these QOL domains during the intervention was also associated with an additional decrease of 2.1 to 2.9 points in PF over follow-up (p values < 0.01). Better social participation and PA at baseline were significantly associated with better average PF scores during the intervention (2.8 to 5.2 points higher for every 5-point increase in social participation or 30 min more of PA; p values < 0.05). Every 5-point increase in pain at baseline, or increases in pain during the intervention, was associated with decreases of 4.9 and 3.0 points, respectively, in PF. Conclusions: Worse QOL scores before and during the intervention were significantly associated with worse PF over follow-up. Encouraging social participation and PA through interventions such as home-based gardening may improve long-term health among older cancer survivors.
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Spatz, Erica Sarah, Kensey Gosch, Philip Jones, Thomas M. Maddox e Nihar R. Desai. "ASSOCIATION BETWEEN ACCOUNTABLE CARE ORGANIZATION PARTICIPATION AND QUALITY OF OUTPATIENT CARDIOVASCULAR CARE". Journal of the American College of Cardiology 79, n.º 9 (março de 2022): 1515. http://dx.doi.org/10.1016/s0735-1097(22)02506-2.
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Stolwyk, Renerus J., Tijana Mihaljcic, Dana K. Wong, Jodie E. Chapman e Jeffrey M. Rogers. "Poststroke Cognitive Impairment Negatively Impacts Activity and Participation Outcomes". Stroke 52, n.º 2 (fevereiro de 2021): 748–60. http://dx.doi.org/10.1161/strokeaha.120.032215.
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This systematic review and meta-analysis aimed to investigate whether cognition is associated with activity and participation outcomes in adult stroke survivors. Five databases were systematically searched for studies investigating the relationship between general- and domain-specific cognition and longer-term (>3 months) basic activities of daily living (ADL), instrumental ADLs, and participation outcomes. Eligibility for inclusion, data extraction, and study quality was evaluated by 2 reviewers using a standardized protocol. Effect sizes ( r ) were estimated using a random-effects model. Sixty-two publications were retained for review, comprising 7817 stroke survivors (median age 63.57 years, range:18–96 years). Median length of follow-up was 12 months (range: 3 months–11 years). Cognition (all domains combined) demonstrated a significant medium association with all 3 functional outcomes combined, r =0.37 (95% CI, 0.33–0.41), P <0.001. Moderator analyses revealed these effects persisted regardless of study quality, order in which outcomes were collected (sequential versus concurrent), age, sample size, or follow-up period. Small to medium associations were also identified between each individual cognitive domain and the separate ADL, instrumental ADL, and participation outcomes. In conclusion, poststroke cognitive impairment is associated with early and enduring activity limitations and participation restrictions, and the association is robust to study design factors, such as sample size, participant age, follow-up period, or study quality. Cognitive assessment early poststroke is recommended to facilitate early detection of disability, prediction of functional outcomes, and to inform tailored rehabilitation therapies.
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Strøm, Benedicte Sørensen, Knut Engedal e Anne Marie Rokstad. "Engagement in Everyday Activities among People Living in Indian Nursing Homes: The Association with Person-Centredness". Dementia and Geriatric Cognitive Disorders Extra 10, n.º 1 (23 de janeiro de 2020): 13–26. http://dx.doi.org/10.1159/000505396.
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Introduction: It has been reported that residents living in nursing homes are often inactive and lonely and are offered a limited number of activities. However, high engagement in activities has been reported to improve residents’ quality of life and engagement in personalized activities can even reduce agitation and enhance positive mood. Information regarding occupational patterns and purpose in life is well established in Western countries. However, we know next to nothing about how people living in Indian nursing homes spend their days. Objective: To explore the participation in everyday activities among older people in Indian nursing homes and the extent to which engagement in activities is associated with person-centred care. Methods: The study was conducted in 6 nursing homes in India, comprising 147 residents. In all, 23 nursing staff took part and completed a 26-item questionnaire about resident activities based on the Multi-Dimensional Dementia Assessment Scale and the Person-Directed Care Questionnaire. Person-centredness was measured with the Person-Centred Care Assessment Tool. Results: We found low participationin everyday activities among the residents. Participation in religious activities was the most frequent, whereas the least used activities were excursions, participating in cultural activities, taking part in educational programmes, visiting a restaurant and going to the cinema. A significant positive association was foundbetween person-centred care and participation in religious activities, engagement in an activity programme and physical activity. Conclusions: The most frequently attended activity was religious activities. Person-centred care was associated with participation in religious activities, engagement in an activity programme, physical activity, spending time in the garden and playing and listening to music.
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Dave, Jayna M., Tzuan A. Chen, Alexandra N. Castro, Mamie White, Elizabeth A. Onugha, Sloane Zimmerman e Debbe Thompson. "Regional Variability in the Prevalence of Food Insecurity and Diet Quality among United States Children". Nutrients 16, n.º 2 (10 de janeiro de 2024): 224. http://dx.doi.org/10.3390/nu16020224.
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Understanding the association between food security status (FSS) and diet quality in children is crucial. This study investigated regional variability in FSS, participation in the federal nutrition assistance program (FNAP), and diet quality among US children. National Health and Nutrition Examination Survey (NHANES) data from 2013 to 2016 were analyzed. The association between FSS, FNAP participation, and diet quality (Healthy Eating Index—HEI-2015) was assessed using multiple linear/logistic regression models. The sample included 6403 children (mean age: 7.5 years; 51% male; 33% Hispanic). Within the sample, 13% reported child food insecurity, and 30% reported household food insecurity. Additionally, 90% participated in the FNAP, and 88% were enrolled in school lunch programs. Children in urban areas were significantly more likely to report household food insecurity than those in rural areas (29.15% vs. 19.10%). The overall HEI-2015 score was 48.2. The associations between child/household FSS and FNAP participation as well as between child/household FSS and diet quality did not differ by urban/rural residence status, irrespective of the children’s age groups. There is a need for improvement in children’s diet quality, regardless of age or urban/rural residence. The findings suggest that improving children’s diets requires broader action as well as the prioritizing of children in urban areas experiencing food insecurity in future dietary interventions.
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Mahmoud, Kafayat, Jarron Saint Onge e David Ekerdt. "TRAJECTORIES OF FORMAL SOCIAL PARTICIPATION, GENDER, AND END-OF-LIFE CARE QUALITY AMONG OLDER AMERICANS". Innovation in Aging 7, Supplement_1 (1 de dezembro de 2023): 59. http://dx.doi.org/10.1093/geroni/igad104.0189.
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Abstract Limited research has examined the association between formal social participation trajectories and end-of-life care quality. The end of life could be characterized by experiences of heightened feelings of physical and psychological distress, breathlessness, constant hospitalization, and intrusive interventions. Formal social participation may improve the end-of-life care of older adults because they serve as sources of useful information, receipt of emotional support, and improve self-efficacy. This research examines the associations between formal social participation trajectories and proxy ratings of overall end-of-life care quality, and the moderating role of gender. Growth-based trajectory models were used to identify distinct developmental trajectories of formal social participation among older adults in the United States. Findings revealed four social participation trajectory classes among older adults towards the end of life, all with a general tendency to decline across time. Multinomial logistic regression analyses showed that although older adults with higher levels of formal social participation have more positive overall end-of-life care ratings, there are gender differences in these care ratings. Women are less likely than men to chart, by proxy report, positive care ratings at the end of life even though they have higher levels of formal social participation, and these gender differences in end-of-life care rating are explained more by healthcare factors than formal social participation trajectories. These results suggest that both formal social participation and positive interactions with health care at the end of life are more beneficial for older men than women.
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Wilson, Kevin E. S., e Patti Millar. "Intramural Sport Participation: An Examination of Participant Benefits, Service Quality, Program Satisfaction, and Student Retention". Recreational Sports Journal 45, n.º 2 (24 de agosto de 2021): 149–60. http://dx.doi.org/10.1177/15588661211036906.
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This study investigates whether the benefits of participation in, and perceived service quality of, an intramural sport program contribute to student retention and overall program satisfaction. Health and wellness outcomes, student learning outcomes, service quality, program satisfaction, and student retention in intramural programming were assessed at one Canadian university. The results reveal that participants experience physical, emotional, social and academic outcomes as a result of participation in intramural programming. The results also reveal that benefits of participation (physical health and wellness, emotional wellness, academic learning outcomes, social learning outcomes) and service quality are associated with greater student retention and program satisfaction. The results highlight the unique association between physical health and wellness benefits and student retention. The results also highlight the association between service quality, social and emotional wellness and program satisfaction among participants. Implications for practice and future research are presented.
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Tang, Ni-Hu, Shang-Feng Tsai, Jaw-Horng Liou, Yuan-Hui Lai, Shih-An Liu, Wayne Huey-Herng Sheu e Chieh Liang Wu. "The Association between the Participation of Quality Control Circle and Patient Safety Culture". International Journal of Environmental Research and Public Health 17, n.º 23 (29 de novembro de 2020): 8872. http://dx.doi.org/10.3390/ijerph17238872.
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Promoting patient safety culture (PSC) is a critical issue for healthcare providers. Quality control circles program (QCCP) can be used as an effective tool to foster long-lasting improvements on the quality of medical institution. The effect of QCCP on PSC is still unknown. This was a retrospective study conducted with matching data. A safety attitudes questionnaire (SAQ) was used for the evaluation of PSC. The association between all scores of six subscales of SAQ and the participation QCCP were analyzed with both the Mann–Whitney and Kruskal–Wallis tests. A total of 2718 valid questionnaires were collected. Most participants of QCCP were females (78.9%), nurses (52.6%), non-supervisors (92.2%), aged <40 years old (64.8%), degree of specialist or university graduates (78%), and with work experience of <10 years (61.6%). Of all participants, the highest scores were in the dimension of safety climate (74.11 ± 17.91) and the lowest scores in the dimension of working conditions (68.90 ± 18.84). The participation of QCCP was associated with higher scores in four dimensions, namely: teamwork climate (p = 0.006), safety climate (p = 0.037), perception of management (p = 0.009), and working conditions (p = 0.015). The participation or not of QCCP had similar results in the dimension of job satisfaction and stress recognition. QCCP was associated with SAQ in subjects with the following characteristics: female, nurse, non-supervisor, aged >50 years old, higher education degrees and with longer working experiences in the hospital. In this first study on the association between each dimension of SAQ and the implementation of QCCP, we found that QCCP interventions were associated with better PSC. QCCP had no benefits in the dimensions of job satisfaction and stress recognition.
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Lee, A. R., R. Wolf, I. Contento, H. Verdeli e P. H. R. Green. "Coeliac disease: the association between quality of life and social support network participation". Journal of Human Nutrition and Dietetics 29, n.º 3 (21 de julho de 2015): 383–90. http://dx.doi.org/10.1111/jhn.12319.
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Brooke, B. S., A. W. Beck, L. W. Kraiss, A. W. Hoel, A. M. Austin e A. A. Ghaffarian. "Association of Quality Improvement Registry Participation With Appropriate Follow-up After Vascular Procedures". Journal of Vascular Surgery 67, n.º 1 (janeiro de 2018): 356–57. http://dx.doi.org/10.1016/j.jvs.2017.11.030.
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Brooke, Benjamin S., Adam W. Beck, Larry W. Kraiss, Andrew W. Hoel, Andrea M. Austin, Amir A. Ghaffarian, Jack L. Cronenwett e Philip P. Goodney. "Association of Quality Improvement Registry Participation With Appropriate Follow-up After Vascular Procedures". JAMA Surgery 153, n.º 3 (1 de março de 2018): 216. http://dx.doi.org/10.1001/jamasurg.2017.3942.
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Shikako-Thomas, Keiko, Noémi Dahan-Oliel, Michael Shevell, Mary Law, Rena Birnbaum, Peter Rosenbaum, Chantal Poulin e Annette Majnemer. "Play and Be Happy? Leisure Participation and Quality of Life in School-Aged Children with Cerebral Palsy". International Journal of Pediatrics 2012 (2012): 1–7. http://dx.doi.org/10.1155/2012/387280.
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The objective of this study was to examine the association between leisure participation and quality of life (QoL) in school-age children with cerebral palsy (CP). Leisure participation was assessed using the Children’s Assessment of Participation and Enjoyment (CAPE) and QoL using the Pediatric Quality of Life Inventory (PedsQL). Pearson correlation coefficients were calculated to examine the association between CAPE and PedsQL scores, and a multiple linear regression model was used to estimate QoL predictors. Sixty-three children (mean age9.7±2.1years; 39 male) in GMFCS levels I–V were included. Intensity of participation in active-physical activities was significantly correlated with both physical (r=0.34,P=0.007) and psychosocial well-being (r=0.31,P=0.01). Intensity and diversity of participation in skill-based activities were negatively correlated with physical well-being (r=−0.39,P=0.001, andr=−0.41,P=0.001, resp.). Diversity and intensity of participation accounted for 32% (P=0.002) of the variance for physical well-being and 48% (P<0.001) when age and gross motor functioning were added. Meaningful and adapted leisure activities appropriate to the child’s skills and preferences may foster QoL.
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Rutenfrans-Stupar, Miranda, Naomi Hanique, Tine Van Regenmortel e René Schalk. "The Importance of Self-Mastery in Enhancing Quality of Life and Social Participation of Individuals Experiencing Homelessness: Results of a Mixed-Method Study". Social Indicators Research 148, n.º 2 (25 de outubro de 2019): 491–515. http://dx.doi.org/10.1007/s11205-019-02211-y.
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Abstract Self-mastery plays a basic role in strength-based and recovery-oriented approaches applied by (mental) health-care institutions and social services. However, no research has been conducted on a comprehensive model that could provide insight into enhancing self-mastery and outcomes, such as social participation and quality of life, for individuals experiencing homelessness. The current mixed-method study investigated associations between person-related variables (optimism, age, education level) and care-related variables (experiences with care, duration of support) as predictors of both social participation and quality of life through the mediator of self-mastery among clients of a Dutch shelter facility. Quantitative analysis (Structural Equation Modeling; n = 97) showed that: (1) Self-mastery is related to social participation and quality of life; (2) Optimism predicts social participation and quality of life through self-mastery; (3) Age squared predicts social participation through self-mastery, but is not related to quality of life; (4) The variable, clients’ experiences with care, is not related to self-mastery, but directly to social participation and quality of life; (5) Education level and duration of support do not predict self-mastery, social participation and quality of life. Qualitative analysis (semi-structured interviews; n = 36) revealed: (1) Contrary to the results of the quantitative study qualitative data indicated that there is a positive association between experiences with care and self-mastery; (2) Social participation and health are associated with self-mastery; (3) The absence of external locus of control should also be included as an aspect of self-mastery; (4) Additional promoting and impeding factors for self-mastery (e.g., a daily structure, privacy, house rules). Based on these results we formulated guidelines for social and mental health-care workers to enhance their clients’ self-mastery.
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El Hadri, Mohamed, Omar Idrissi Kaitouni, Mounir Marrakchi, Tarik Ghailan e Rachid Amiri. "P-378 THE CRITICAL ROLE OF THE FRIENDLY ASSOCIATION OF OCCUPATIONAL PHYSICIANS AND ERGONOMICS IN THE AGRO-INDUSTRIAL SECTOR". Occupational Medicine 74, Supplement_1 (1 de julho de 2024): 0. http://dx.doi.org/10.1093/occmed/kqae023.1046.
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Abstract Introduction The Association is dedicated to promoting professional integrity and providing high-quality training to occupational health physicians. Its primary mission is to safeguard workers’ health in compliance with labor regulations. Methods The Association employs diverse methods, including preparing physicians for national qualifications in occupational medicine, participating in labor authority meetings, and representing occupational health physicians at professional events. It frequently organizes roundtable discussions and actively engages in national and regional initiatives to promote occupational medicine. Additionally, it plays an active role in COVID-19 prevention by participating in vaccination, employee monitoring, and using radio and TV to raise awareness. It collaborates closely with the national medical board to address challenges related to practicing occupational medicine in Northern Morocco. Results The study’s results underscore the Association’ success in achieving its objectives. It has effectively strengthened bonds among occupational health professionals and represented all associations in Northern Morocco. Active participation in national and international meetings, along with a commitment to occupational medicine and ergonomics training, keeps it at the forefront of occupational health and safety developments. Specific activities, such as preparing physicians for national qualifications, have also been notably successful. Discussion Its commendable efforts to strengthen relationships among occupational health professionals, provide quality training, and actively participate in national and international initiatives make it a key player in safeguarding worker health and promoting best practices in occupational medicine. Conclusion The Association plays a vital role in advancing worker health and occupational medicine in Northern Morocco.
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Catur Muspita, Novi. "MODEL PENGEMBANGAN MODAL SOSIAL MELALUI PERAN DAN PARTISIPASI POT (PAGUYUPAN ORANG TUA) UNTUK MENINGKATKAN KUALITAS PENDIDIKAN". Translitera : Jurnal Kajian Komunikasi dan Studi Media 8, n.º 01 (31 de março de 2019): 35–48. http://dx.doi.org/10.35457/translitera.v8i01.597.
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This research background is the phenomenon of the role and participation of guardians of students in the field of education is very important and strategic. The success of the work performance of the Education Management is inseparable from the professional ability of the individuals involved in the activity. The objectives of this study are: (1) To determine the design of the social capital development model through the role and participation of POT (Parents' Association) as to Improve the Quality of Education (Study in SDI Ma’arif Plosokerep Kota Blitar), (2) To find out constraints in developing social capital through the role and participation of POT (Parents' Association) to improve quality of Education (Study at Study in SDI Ma’arif Plosokerep Kota Blitar) . The results of this study that in designing Social Capital Development Models through Role and POT Participation ( Parents Association) to Improve Education Quality in SDI Ma'arif Plosokerep Kota Blitar consists of several elements of social capital in strengthening education, among others: (1) participation in a network, (2) reciprocity, (3) trust, ( 4) social norms, (5) Proactive action, the constraints in implementing the Design of the Social Capital Development Model Through the Role and Participation of POT to Improve the Quality of Education in SDI Ma'arif Plosokerep Kota Blitar are: (1) Lack of understanding of the guardian of the importance of POT (2) Parent has an impact on / quantity of active student guardians (3) Insensity of POT meeting which is POT period meeting / meeting, (4) Not all teachers and Wali kelas comprehensively understand POT, (5) No schema and SOP for POT formation, work system and mechanism
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Oliveira, Bruno Luciano Carneiro Alves de, Sara Fiterman Lima, Andréa Suzana Vieira Costa, Alécia Maria da Silva e Maria Teresa Seabra Soares de Britto e. Alves. "Social participation and self-assessment of health status among older people in Brazil". Ciência & Saúde Coletiva 26, n.º 2 (fevereiro de 2021): 581–92. http://dx.doi.org/10.1590/1413-81232021262.20342019.
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Abstract To estimate the prevalence of social participation (exposure) and its association with positive self-assessment of overall health status (SAH) (outcome) among 7,712 Brazilian elderly interviewed in the National Health Survey 2013. A cross-sectional study that used Propensity Score (PS) to improve comparability between the group exposed and no exposed to social participation. Poisson regression was performed to determine the prevalence and association of interest using crude and adjusted by inverse probability of selection of PS. Social participation was reported by 25.1% (CI95%: 23.4-26.9) and was lower among poor older people, who depend on public transportation and live in more precarious contexts. Most did not SAH positively, but the proportion was higher when they had social participation (48.0%; CI95%: 46.0-51.0). There was a positive association of social participation with SAH positive. The association using the adjusted model (PR: 1.15; CI95%: 1.08-1.22) attenuated the estimated in the crude model. Elderly exposed were 15% more likely to provide a positive SAH. Despite low levels in Brazil, there was a positive association between of social participation and SAH, confirming that engagement in such activities provides important gains for the health and quality of life.
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Howell, David R., Michael W. Kirkwood, Scott Laker e Julie C. Wilson. "Collision and Contact Sport Participation and Quality of Life Among Adolescent Athletes". Journal of Athletic Training 55, n.º 11 (29 de outubro de 2020): 1174–80. http://dx.doi.org/10.4085/1062-6050-0536.19.
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Context Researchers investigating collision and contact sport participation during high school have found mixed results. Understanding the association between current contact and collision sport participation and quality-of-life outcomes can enhance our knowledge about the risks and benefits of sport participation. Objective To examine quality-of-life outcomes among high school athletes who reported participation in collision and contact sports in the year preceding assessment compared with no- or limited-contact sport athletes. Design Cross-sectional study. Setting Preparticipation physical examination. Patients or Other Participants High school athletes 13 to 18 years of age. Main Outcome Measure(s) We obtained sport participation and Patient-Reported Outcomes Measurement Information System (PROMIS) Pediatric-25 outcomes, which assess self-reported, quality-of-life domains in the preceding 7 days (ie, state assessment). Our grouping variable was collision and contact versus no- or limited-contact sport participation during the year preceding assessment. We used multivariable linear regression models to identify the associations between PROMIS scores and collision and contact sport participation and adjusted for sex; age; history of bone, muscle, ligament, or tendon injury; history of acute fracture or dislocation; and history of concussion. Results A total of 143 (51%) athletes reported collision and contact sport participation (24% female, mean age = 15.1 ± 1.7 years) and 138 (49%) reported no- or limited-contact sport participation (66% female, mean age = 15.4 ± 1.2 years). A higher proportion of collision and contact sport athletes reported a history of time loss for bone, muscle, ligament, and tendon injuries (51% versus 29%, P < .001) and for acute fracture or dislocation (46% versus 26%, P < .001) than did no- or limited-contact athletes. After adjusting for covariates, we found that collision and contact sport participation was significantly associated with lower state anxiety (β = −1.072, 95% confidence interval = −1.834, −0.310, P = .006) and depressive (β = −0.807, 95% confidence interval = −1.484, −0.130, P = .020) symptom scores. Conclusions Collision and contact sport athletes reported fewer anxiety and depressive symptoms in the week preceding evaluation than did no- or limited-contact sport athletes, but they had more extensive orthopaedic injury histories. Potential benefits and risks are associated with collision and contact sport participation. These data reinforce the need to examine the assumption that youth collision and contact sports are associated with negative quality of life.
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Bwalya, Jack Chola, e Prasanth Sukumar. "The Association between Social Capital and Voting Participation in Three Developing Democracies in Africa". Journal of Politics and Law 11, n.º 1 (4 de fevereiro de 2018): 42. http://dx.doi.org/10.5539/jpl.v11n1p42.
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Numerous empirical research studies posit that social capital has a positive influence on peoples’ political participation. Studies conducted in developed western democracies have revealed that social capital strengthens democratic institutions by impacting both the quantity and quality of citizens’ political participation. However, in the developing democracies of Africa, the effects of social capital on political participation remain under-researched. This paper aims to empirically examine whether the interrelation between social capital and political participation holds true in the developing democracies of Africa. By operationalising the concept of social capital as membership in civic associations, this paper examines the influence of social capital on peoples’ voting participation in three Southern African countries, viz. Botswana, Namibia and Zambia. Using data from the sixth round of the Afrobarometer Survey, this study found that social capital was strongly linked to voting participation in these countries.
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Ang, Shannon. "How Social Participation Benefits the Chronically Ill: Self-Management as a Mediating Pathway". Journal of Aging and Health 31, n.º 7 (14 de março de 2018): 1134–54. http://dx.doi.org/10.1177/0898264318761909.
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Objective: Few studies have tested the purported causal mechanisms between social participation and health, especially among those in poor health. This study aimed to determine whether self-management of chronic disease operates as a pathway through which social participation affects health-related quality of life. Method: I utilized causal mediation analysis among 600 low-income older Singaporeans living with chronic conditions, to test whether self-management mediates the association between social participation and health-related quality of life. Results: Results show that self-management fully mediated the positive effect of informal social participation on health-related quality of life. Formal social participation was found to have a negative direct effect on health-related quality of life. Discussion: These findings reiterate the primacy of family and friends for older adults, but highlight that a better understanding of formal engagement with the low-income population is still needed.
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Hemmila, Mark R., Anne H. Cain-Nielsen, Jill L. Jakubus, Judy N. Mikhail e Justin B. Dimick. "Association of Hospital Participation in a Regional Trauma Quality Improvement Collaborative With Patient Outcomes". JAMA Surgery 153, n.º 8 (1 de agosto de 2018): 747. http://dx.doi.org/10.1001/jamasurg.2018.0985.
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Siddiky, Md Roknuzzaman. "Examining the Linkage between Students’ Participation in Co-curricular Activities and their Soft Skill Development". Journal of Educational Sciences 4, n.º 3 (24 de julho de 2020): 511. http://dx.doi.org/10.31258/jes.4.3.p.511-528.
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The paper aims to investigate the association between students’ participation in Co-curricular Activities (CCAs) and their soft skill development. Moreover, the study attempts to find out whether the association between these two variables is statistically significant. The study reasonably employed survey method where primary data were collected from a total of 135 students who were sampled from 16 academic departments of a public university in Bangladesh based on non-probability sampling techniques. The study found that the students have developed diverse soft skills (which involve different personal skills and social skills) much via their participation in CCAs. The study observed that there is a moderate positive association between students’ participation in CCAs and their various personal and social skills excepting presentation skill, organizing skill and network-building skill in which strong positive association was found. Moreover, the study found that there is a significant association between students’ participation in CCAs and their diverse personal skills and social skills. Hence, the study argued that the association between students’ participation in CCAs and their soft skill development is statistically significant. Finally, the study suggested that the Government and the authority concerned should undertake suitable policy in order to utilize CCAs and thereby ensure quality education.
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Masuri, Mohamad Ghazali, Akehsan Dahlan, Ajau Danis e Khairil Anuar Md Isa. "Public Participation to Improve Road Society". Asian Journal of Behavioural Studies 3, n.º 10 (13 de março de 2018): 137. http://dx.doi.org/10.21834/ajbes.v3i10.88.
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Road traffic accident (RTA) frequently involves multi-level society and this has become a demanding community issue where more serious participation is needed to improve driver’s attitude in the future. RTA has a significant impact on quality of life and financial burden to the government and Malaysian society. There is limited local evidence supporting the elements of driver’s attitudes. This concept paper will discuss a potential method to be used in developing valid and sensitive driver’s evaluation. This evaluation may help the government to produce better road users in the future.Keywords: Public attitude; road society in the future; save driverseISSN 2398-4295 © 2018. The Authors. Published for AMER ABRA cE-Bs by e-International Publishing House, Ltd., UK. This is an open-access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia.
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Sakamoto, Jutaro. "The Association Between Parent Participation in School Management and Student Achievement in Eight Countries and Economies". International Education Studies 14, n.º 1 (26 de dezembro de 2020): 115. http://dx.doi.org/10.5539/ies.v14n1p115.
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Parent participation in school management has been promoted as a strategy for holding schools accountable for education quality and outcomes. However, the evidence has proven inconclusive and limited in explaining mechanisms to affect student achievement. By using public school student data derived from the Programme for International Student Assessment 2015, this study examines how 1) participation of a student’s own parents in school management, which would affect their learning support at home and 2) participation of a group of parents, which would influence school decisions and thus affect the learning environment at school, are associated with student achievement in Croatia, Georgia, Portugal, the Dominican Republic, Mexico, Korea, Hong Kong, and Macao. I found no evidence that parent participation in school management contributed to improving student achievement. Instead, depending on the country, a negative association is derived from either individual-level or school-level parent participation. The associations are not moderated by parents’ socioeconomic status but by school’s openness to parental engagement in some of the countries, indicating that what matters might not be participation per se but the degree of engagement. The findings underscore the importance of understanding mechanisms and conditions in which parent participation affects student learning in context to design effective participatory school governance.
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Martins, João, Adilson Marques, Élvio Rúbio Gouveia, Francisco Carvalho, Hugo Sarmento e Miguel González Valeiro. "Participation in Physical Education Classes and Health-Related Behaviours among Adolescents from 67 Countries". International Journal of Environmental Research and Public Health 19, n.º 2 (15 de janeiro de 2022): 955. http://dx.doi.org/10.3390/ijerph19020955.
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The present study sought to examine the associations between participation in physical education (PE) classes and a range of health-related behaviours among adolescents. Secondary analysis of self-reported data from the Global Student Health Survey, collected between 2010 and 2017 from 222,121 adolescents (N = 117,914 girls; 49.0%; aged 13–17 years) from 67 countries and five world regions, was carried out. Participation in PE classes (0, 1–2, ≥3 days/week) was the independent variable. Physical activity (PA); sedentary behaviour (SB); active travel to school; fruit, vegetables, and alcohol consumption; and smoking; as well as adopting ≥5 of these healthy behaviours; were the dependent variables. Complex samples logistic regressions were performed to explore the associations between participation in PE classes and health-related behaviours. The results revealed that 18.2% of adolescents did not take part in PE classes. A total of 56.7% and 25.1% of adolescents reported participating in PE classes on 1–2 and ≥3 days/week, respectively. Only 26.8% of adolescents adopted ≥5 healthy behaviours. Participation in PE classes was positively associated with PA, active travel, fruit consumption, and vegetable consumption (only for ≥3 days/week), but was negatively associated with meeting SB recommendations, and with not smoking (only for girls and ≥3 days/week). Overall, PE participation was positively associated with adopting ≥5 healthy behaviours, with favourable results found for those who attended more PE classes. The findings revealed a positive association between participation in PE classes and a range of health-related behaviours among adolescents. This suggests that, worldwide, quality PE should be delivered at least 3 days per week up to daily to promote healthy lifestyles among adolescents.
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LITWIN, HOWARD, e SHARON SHIOVITZ-EZRA. "The association between activity and wellbeing in later life: what really matters?" Ageing and Society 26, n.º 2 (27 de fevereiro de 2006): 225–42. http://dx.doi.org/10.1017/s0144686x05004538.
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This paper reports a study of the complex associations between older people's participation in activities and their wellbeing in later life using data from a national sample of 1,334 Jewish-Israeli retirees. Confirmatory factor analysis substantiated a division of the activities into solitary, formal and informal categories, as postulated by activity theory. The outcome measure, the latent construct wellbeing, was compiled from scores on the 12-item General Health Questionnaire (GHQ-12), a global measure of life satisfaction, and a measure of satisfaction with the use of time. The analysis also examined the influence of socio-economic status, health status and the quality of inter-personal relationships. ‘Social relationship quality’, also a latent construct, was a composite of measures of satisfaction with children, friends and neighbours and a self-rated loneliness scale. Path analysis using structural equation modelling was employed. The results showed that when the quality of social relationships was taken into account, the amount of activity had no independent effect on the respondents' wellbeing. Moreover, it was social relationship quality, a facet of informal activity that has generally been neglected in activity research, that emerged as the most influential variable in the association between activity and wellbeing. Thus, the findings provide empirical backing for the assertion that the quality of social ties matters more than activity participation per se as predictors of a good old age.
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Müller-Riemenschneider, Falk, Frank Andersohn, Sabine Ernst e Stefan N. Willich. "Association of Physical Activity and Atrial Fibrillation". Journal of Physical Activity and Health 9, n.º 5 (julho de 2012): 605–16. http://dx.doi.org/10.1123/jpah.9.5.605.
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Background:There is controversy regarding the association of physical activity (PA) and atrial fibrillation (AF). This systematic review aims to summarize the evidence regarding the association of PA at different levels and AF.Methods:A structured search of databases was performed until December 2009. Studies that investigated the association between PA and AF were included and assessed by 2 researchers according to selection criteria and methodological quality. The overall quality of evidence was rated according to the Grade system.Results:Of 855 publications, 10 met the inclusion criteria. The risk of uncontrolled bias and confounding was profound and there was substantial heterogeneity regarding observed associations. One methodologically rigorous study reported substantial risk reductions associated with moderate intensity PA. Another indicated modest increases in risk with high levels of vigorous PA. Five methodologically less reliable studies reported large increases in risk due to regular sport practice.Conclusion:The overall quality of evidence indicating increases in risk of AF is low. Most reports of large increases in risk appear to be overestimated substantially. In light of the public health importance of regular PA, contradictory recommendations concerning the participation in PA should be considered cautiously before more rigorous studies have investigated this issue.
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Liao, Joshua M., Erkuan Wang, Ulysses Isidro, Jingsan Zhu, Deborah S. Cousins e Amol S. Navathe. "The Association between Bundled Payment Participation and Changes in Medical Episode Outcomes among High-Risk Patients". Healthcare 10, n.º 12 (12 de dezembro de 2022): 2510. http://dx.doi.org/10.3390/healthcare10122510.
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Background: Bundled payments for medical conditions are associated with stable quality and savings through shorter skilled nursing facility (SNF) length of stay. However, effects among clinically higher-risk patients remain unknown. Objective: To evaluate whether the association between participation in bundled payments for medical conditions and episode outcomes differed for clinically high-risk versus other patients. Design: Retrospective difference-in-differences analysis; Participants: 471,421 Medicare patients hospitalized at bundled payment and propensity-matched non-participating hospitals. Exposures were 5 measures of clinically high-risk groups: advanced age (>85 years old), high case-mix, disabled, frail, and prior institutional post-acute care provider utilization. Main Measures: Primary outcomes were SNF length of stay and 90-day unplanned readmissions. Secondary outcomes included quality, utilization, and spending measures. Key Results: SNF length of stay was differentially lower among frail patients (aDID −0.4 days versus non-frail patients, 95% CI −0.8 to −0.1 days), patients with advanced age (aDID −0.8 days versus younger patients, 95% CI −1.2 to −0.3 days), and those with prior institutional post-acute care provider utilization (aDID −1.1 days versus patients without prior utilization, 95% CI −1.6 to −0.6 days), compared to non-frail, younger, and patients without prior utilization, respectively. BPCI participation was also associated with differentially greater SNF LOS among disabled patients (aDID 0.8 days versus non-disabled patients, 95% CI 0.4 to 1.2 days, p < 0.001). Bundled payment participation was not associated with differential changes in readmissions in any high-risk group but was associated with changes in secondary outcomes for some groups. Conclusions: Changes under medical bundles affected, but did not indiscriminately apply to, high-risk patient groups.
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Liao, Joshua M., Qian Huang, Erkuan Wang, Kristin Linn, Torrey Shirk, Jingsan Zhu, Deborah Cousins e Amol S. Navathe. "Performance of Physician Groups and Hospitals Participating in Bundled Payments Among Medicare Beneficiaries". JAMA Health Forum 3, n.º 12 (29 de dezembro de 2022): e224889. http://dx.doi.org/10.1001/jamahealthforum.2022.4889.
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ImportanceHospital participation in bundled payment initiatives has been associated with financial savings and stable quality of care. However, how physician group practices (PGPs) perform in bundled payments compared with hospitals remains unknown.ObjectivesTo evaluate the association of PGP participation in the Bundled Payments for Care Improvement (BPCI) initiative with episode outcomes and to compare these with outcomes for participating hospitals.Design, Settings, and ParticipantsThis cohort study with a difference-in-differences analysis used 2011 to 2018 Medicare claims data to compare the association of BPCI participation with episode outcomes for PGPs vs hospitals providing medical and surgical care to Medicare beneficiaries. Data analyses were conducted from January 1, 2020, to May 31, 2022.ExposuresHospitalization for any of the 10 highest-volume episodes (5 medical and 5 surgical) included in the BPCI initiative for Medicare patients of participating PGPs and hospitals.Main Outcomes and MeasuresThe primary outcome was 90-day total episode spending. Secondary outcomes were 90-day readmissions and mortality.ResultsThe total sample comprised data from 1 288 781 Medicare beneficiaries, of whom 696 710 (mean [SD] age, 76.2 [10.8] years; 432 429 [59.7%] women; 619 655 [85.5%] White individuals) received care through 379 BPCI-participating hospitals and 1441 propensity-matched non−BPCI-participating hospitals, and 592 071 (mean [SD] age, 75.4 [10.9] years; 527 574 [86.6%] women; 360 835 [59.3%] White individuals) received care from 6405 physicians in BPCI-participating PGPs and 24 758 propensity-matched physicians in non−BPCI-participating PGPs. For PGPs, BPCI participation was associated with greater reductions in episode spending for surgical (difference, –$1368; 95% CI, –$1648 to –$1088) but not for medical episodes (difference, –$101; 95% CI, –$410 to $206). Hospital participation in BPCI was associated with greater reductions in episode spending for both surgical (–$1010; 95% CI, –$1345 to –$675) and medical (–$763; 95% CI, –$1139 to –$386) episodes.Conclusions and RelevanceThis cohort study and difference-in-differences analysis of PGPs and hospital participation in BPCI found that bundled payments were associated with cost savings for surgical episodes for PGPs, and savings for both surgical and medical episodes for hospitals. Policy makers should consider the comparative performance of participant types when designing and evaluating bundled payment models.
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Šabani, Alisabri, e Elvira Čekić. "Socio-Demographic Correlates of of Social Disorganization and Neighborhood Quality". Kriminalističke teme 23, n.º 1-2 (13 de dezembro de 2023): 19–43. http://dx.doi.org/10.51235/kt.2023.23.1-2.19.
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The aim of the research was to determine the relationship between socio-demographic variables of the respondents and the perception of social disorganization related to housing conditions and the quality of the neighborhood. The research was conducted in December 2022 on a sample of 102 respondents (49 male and 53 female), average age 43. The following scales and questionnaires were applied: Sociodemographic Variables Questionnaire, Social Organization Inventory and Social Perception Scale. The results of the research showed that socio-demographic variables have influence on the perception of social disorganization and neighborhood quality. It was found that there is a statistically significant positive association with the social disorganization variable in the direction of the impact of tenants on the quality of collective living, emotional ties of tenants, the need to fulfill requests, neighborhood stability and informal control. The data indicate that all individual items of the subtest of the neighborhood variable showed a statistically significant positive association with tenants' external connections, with institutions related to the quality of housing, pro-social norms of collective housing, basic participation of tenants in skyscraper activities, informal participation of tenants in skyscraper activities and formal participation of tenants in skyscraper activities. Factor analysis revealed three dominant factors: involvement of tenants in activities of common interest, connection and assistance among tenants, and opportunities to improve living conditions for all tenants by engaging in the local community. The obtained results suggest positive attitudes related to housing values that arise from social organization and neighborhood quality. The paper is concluded with recommendations for future research and directions.
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Kim, Sollip, Yeo-Min Yun, Hyeongsu Kim, Tae-Hyun Um, Jeonghyun Chang, Hojin Jeong, Kun Sei Lee et al. "The New Diagnosis-Related Group Reimbursement System and Laboratory Test Quality in Korea: Analysis of External Quality Assessment Results". Healthcare 8, n.º 2 (7 de maio de 2020): 127. http://dx.doi.org/10.3390/healthcare8020127.
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Korea introduced a new diagnosis-related group (NDRG), which is a mixed-bundle reimbursement system. We evaluated the effects of NDRGs on laboratory test quality by analyzing data over three years (2016–2018) from the Korean Association of External Quality Assessment Service (KEQAS). A total of 42 NDRG-participating hospitals (CASE), 84 non-participating similar size-hospitals (CON-1), and 42 tertiary hospitals (CON-2) were included. We assumed the proportion of KEQAS results with a larger than 2 standard deviation index (SDI) to be a bad laboratory quality marker (BLQM). CASE BLQMs were lower than CON-1 BLQMs for more than 2 years in alkaline phosphatase (ALP), alanine aminotransferase (ALT), chloride, glucose, sodium, and total protein, and higher in creatinine. CASE BLQMs were higher than CON-2 BLQMs for more than 2 years in ALP, chloride, creatinine, glucose, lactate dehydrogenase (LDH), phosphorus, potassium, sodium, total calcium, total cholesterol, triglyceride, and uric acid. Mean SDIs for general chemistry tests were not significantly different depending on NDRG participation. However, the NDRG is currently a pilot program that compensates the amount of each institution’s reimbursement based on the fee-for-service system, and most participants were public hospitals. Thus, the effects of NDRGs on laboratory test quality should be re-evaluated after the NDRG program has stabilized and more private hospitals are participating.
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Houston, Megan N., Johanna M. Hoch, Bonnie L. Van Lunen e Matthew C. Hoch. "The Impact of Injury on Health-Related Quality of Life in College Athletes". Journal of Sport Rehabilitation 26, n.º 5 (setembro de 2017): 365–75. http://dx.doi.org/10.1123/jsr.2016-0011.
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Context:Health-related quality of life (HRQOL) is a broad term for the impact of injury or illness on physical, psychological, and social health dimensions. Injury has been associated with decreased HRQOL in athletes. However, the influence of injury history, participation status, time since last injury, and injury severity on HRQOL remains unclear.Objective:To compare HRQOL in collegiate athletes based on injury history, participation status, time since last injury, and injury severity and to examine relationships between HRQOL outcomes.Design:Cross-sectional.Setting:3 National Collegiate Athletic Association (NCAA) institutions.Participants:467 collegiate athletes (199 males, 268 females; 19.5 ± 1.3 y, 173.9 ± 10.5 cm, 71.9 ± 13.6 kg) were recruited from NCAA Division I (n = 299) and Division III (n = 168) institutions. Athletes were included regardless of participation status, which created a diverse sample of current and past injury histories.Main Outcome Measures:During a single session, participants completed an injury history form, the Disablement in the Physically Active Scale (DPA), and the Fear-Avoidance Beliefs Questionnaire (FABQ). Dependent variables included DPA-Physical Summary Component (DPA-PSC), DPA-Mental Summary Component (DPA-MSC), and FABQ Scores.Results:HRQOL differences were detected between groups based on injury history, participation status, and time since last injury. No differences were detected for injury severity. A moderate correlation was identified between the DPA-PSC and FABQ (rs = 0.503, P < .001) and a weak relationship was identified between the DPA-MSC and FABQ (rs = 0.266, P < .001).Conclusions:Injury negatively influenced HRQOL in athletes with a current injury. While those individuals participating injured reported better HRQOL than the athletes sidelined due to injury, deficits were still present and should be monitored to ensure a complete recovery. Identifying the patient’s perception of impairment will help facilitate evidencebased treatment and rehabilitation strategies that target the physical and psychosocial aspects of health.
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Turner, Nalita Nungarrayi, Judy Taylor, Sarah Larkins, Karen Carlisle, Sandra Thompson, Maureen Carter, Michelle Redman-MacLaren e Ross Bailie. "Conceptualizing the Association Between Community Participation and CQI in Aboriginal and Torres Strait Islander PHC Services". Qualitative Health Research 29, n.º 13 (23 de abril de 2019): 1904–15. http://dx.doi.org/10.1177/1049732319843107.
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Drawing from Australian Aboriginal and Torres Strait Islander perspectives, we conceptualize the association between community participation and continuous quality improvement (CQI) processes in Indigenous primary health care (PHC) services. Indigenous experiences of community participation were drawn from our study identifying contextual factors affecting CQI processes in high-improving PHC services. Using case study design, we collected quantitative and qualitative data at the micro-, meso-, and macro-health system level in 2014 and 2015 in six services in northern Australia. Analyzing qualitative data, we found community participation was an important contextual factor in five of the six services. Embedded in cultural foundations, cultural rules, and expectations, community participation involved interacting elements of trusting relationships in metaphorically safe spaces, and reciprocated learning about each other’s perspectives. Foregrounding Indigenous perspectives on community participation might assist more effective participatory processes in Indigenous PHC including in CQI processes.
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Ropka-Molik, K., P. Podstawski, K. Piórkowska e M. Tyra. "Association of missense MTTP gene polymorphism with carcass characteristics and meat quality traits in pigs". Czech Journal of Animal Science 62, No. 1 (14 de janeiro de 2017): 9–14. http://dx.doi.org/10.17221/45/2015-cjas.
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Microsomal triglyceride transfer protein, coded by MTTP gene, has multiple functions including participation in formation of chylomicrons, low-density lipoproteins, and very low-density lipoproteins. Therefore MTTP protein plays a key role in the transport of fats and cholesterol between membrane vesicles, which can be associated with lipid metabolism. In the present study, ENSSSCT00000010052.2:c.2518C>T (rs335896411) missense polymorphism (Leu>Phe) located in exon 18 of MTTP gene was investigated in order to estimate its potential association with production traits of pigs. The analysis was performed with five breeds (Duroc, Landrace, Large White, Pietrain, Pulawska pigs) and totally 678 pigs, for which the genotypes of c.2518C>T polymorphism were identified by the polymerase chain reaction–restriction fragment length polymorphism method. The present study showed a significant association of c.2518C>T polymorphism with carcass yield. When analyzing the whole population, CC homozygotes showed significantly higher carcass yield than heterozygotes (P ≤ 0.05). Moreover, c.2518C>T single nucleotide polymorphism (SNP) affected pH measured in loin (m. longissimus dorsi) and ham (m. semimembranosus) 45 min after slaughter. For both parameters, the highest pH values were obtained for CC pigs, while the lowest for heterozygotes (P ≤ 0.05). The SNP analyzed was also related with meat colour (yellowness intensity (b*)). Previous research confirmed that ENSSSCP00000009789.2:p.Leu840Phe polymorphism, via affecting MTTP protein activity, influences metabolism of fatty acids. Additionally, results obtained in the present study suggest that the analyzed missense mutation in porcine MTTP gene can be one of the potential genetic factors associated with meat quality (pork pH and colour) and carcass yield.
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Sutherland, Amanda, Emily Boudreau, Andy Bowe, Qian Huang, Joshua M. Liao, Matthew Flagg, Deborah Cousins et al. "Association Between a Bundled Payment Program for Lower Extremity Joint Replacement and Patient Outcomes Among Medicare Advantage Beneficiaries". JAMA Health Forum 4, n.º 6 (25 de junho de 2023): e231495. http://dx.doi.org/10.1001/jamahealthforum.2023.1495.
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ImportanceMuch of the evidence for bundled payments has been drawn from models in the traditional Medicare program. Although private insurers are increasingly offering bundled payment programs, it is not known whether they are associated with changes in episode spending and quality.ObjectiveTo evaluate whether a voluntary bundled payment program offered by a national Medicare Advantage insurer was associated with changes in episode spending or quality of care for beneficiaries receiving lower extremity joint replacement (LEJR) surgery.Design, Setting, and ParticipantsCross-sectional study of 23 034 LEJR surgical episodes that emulated a stepped-wedge design by using the time-varying, geographically staggered rollout of the bundled payment program from January 1, 2012, to September 30, 2019. Episode-level multivariable regression models were estimated within practice to compare changes before and after program participation, using episodes at physician practices that had not yet begun participating in the program during a given time period (but would go on to do so) as the control. Data analyses were performed from July 1, 2021, to June 30, 2022.ExposuresPhysician practice participation in the bundled payment program.Main Outcomes and MeasuresThe primary outcome was episode spending (plan and beneficiary). Secondary outcomes included postacute care use (skilled nursing facility and home health care), surgical setting (inpatient vs outpatient), and quality (90-day complications [including deep vein thrombosis, wound infection, fracture, or dislocation] and readmissions).ResultsThe final analytic sample included 23 034 LEJR episodes (6355 bundled episodes and 16 679 control episodes) from 109 physician practices participating in the program. Of the beneficiaries, 7730 were male and 15 304 were female, 3057 were Black, 19 351 were White, 447 were of other race or ethnicity (assessed according to the Centers for Medicare &amp; Medicaid Services beneficiary race and ethnicity code, which reflects data reported to the Social Security Administration), and 179 were of unknown race and ethnicity. The mean (SD) age was 70.9 (7.2) years. Participation in the bundled payment program was associated with a 2.7% (95% CI, 1.3%-4.1%) decrease in spending per episode (mean episodic spending, $21 964 [95% CI, $21 636-$22 296] vs $22 562 [95% CI, $22 346-$22 779]), as well as reductions in skilled nursing facility use after discharge (21.3% for bundled episodes vs 25.0% for control episodes; odds ratio [OR], 0.81 [95% CI, 0.67-0.98]) and increased use of the outpatient surgical setting (14.1% for bundled episodes vs 8.4% for control episodes; OR, 1.79 [95% CI, 1.53-2.09]). The program was not associated with changes in quality outcomes, including 90-day complications (8.8% for bundled episodes vs 8.6% for control episodes; OR, 1.02 [95% CI, 0.86-1.20]) and readmissions (4.3% for bundled episodes vs 4.6% for control episodes; OR, 0.92 [95% CI, 0.75-1.13]).Conclusions and RelevanceIn this study of an LEJR bundled payment program offered by a national Medicare Advantage insurer, findings suggest that physician practice participation in the program was associated with a decrease in episode spending without changes in quality. Bundled payments offered by private insurers, including Medicare Advantage plans, are an alternate payment option to fee for service that may reduce spending for LEJR episodes while maintaining quality of care.
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Peng, Changmin, Yan Lin, Shan Qu e Yiyang Yuan. "ARE OLDER ADULTS’ SOCIAL PARTICIPATION AND RELATIONSHIP QUALITY RELATED TO THEIR SPOUSE’S COGNITION?" Innovation in Aging 6, Supplement_1 (1 de novembro de 2022): 838. http://dx.doi.org/10.1093/geroni/igac059.3006.
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Abstract Limited studies have quantified older adults’ profiles of social participation and relationship quality. How such profiles were associated with their spouse/partner’s cognitive function also remains unknown. Using the Health and Retirement Study (2014/2016), we identified 3,722 community-dwelling, cognitively intact, married/partnered respondents living with their spouse/partner. Spouse/partner’s cognitive function was ascertained by the Langa-Weier Classification [Intact/Cognitively Impaired but not Demented (CIND)/Demented]. Social participation was measured by the frequency of volunteer, charity, education, sport/social clubs, and non-religious organization activities. Relationship quality was measured by the perceived positive and negative support from spouse, children, relatives, and friends. Latent profile analysis identified profiles of social participation and relationship quality. Multinomial logistic regression estimated the association between spouse/partner’s cognitive function and the respective profiles. Three social participation profiles were identified: (1) Limited social participation (prevalence: 69%; reference); (2) Frequent volunteer participation (10%); (3) Frequent non-volunteer participation (21%). Three relationship quality profiles were identified: (1) Positive overall support (68%; reference); (2) Positive spousal support (18%); (3) Negative spousal support with positive non-spousal support (14%). Those with a spouse/partner that were CIND or demented were significantly less likely to frequently participate in volunteer or non-volunteer activities, while more likely to perceive negative spousal support and positive non-spousal support. Given these findings and the essential role of social participation and relationship quality in older adults’ well-being, programs focusing on older adults living with a spouse/partner with impaired cognition are needed to help them maintain social connectedness.
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Ennis, Ronald D. "Association of Oncology Care Model Participation With Medicare Payments, Utilization, Care Delivery, and Quality Outcomes". JAMA 327, n.º 6 (8 de fevereiro de 2022): 588. http://dx.doi.org/10.1001/jama.2021.24507.
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Chang, Shih-Pei, Kuo-Sen Shih, Chung-Pu Chi, Chin-Ming Chang, Kai-Lin Hwang e Yu-Hsuan Chen. "Association Between Exercise Participation and Quality of Sleep and Life Among University Students in Taiwan". Asia Pacific Journal of Public Health 28, n.º 4 (28 de abril de 2016): 356–67. http://dx.doi.org/10.1177/1010539516645160.
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Pacheco, Paola, Rafael Pérez, David Coello-Montecel e Nancy Pamela Castro Zazueta. "Quality of Life in Older Adults: Evidence from Mexico and Ecuador". Geriatrics 6, n.º 3 (16 de setembro de 2021): 92. http://dx.doi.org/10.3390/geriatrics6030092.
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Older adults are a growing population group in Latin America, hence the importance of deepening studies, proposals, and policies to guarantee their well-being. This article analyzes the perception of quality of life in older adults from Mexico and Ecuador and its association with several socioeconomic variables. The study design was cross-sectional. The sample comprised 450 older adults, 238 from Mexico and 212 from Ecuador. The WHOQOL-OLD Quality of Life Questionnaire and a set of sociodemographic variables were used. The results showed a higher perception of quality of life in the Mexican sample regarding most of the dimensions, except for sensory skills and social participation. An association was also found between sensory skills and sports practice, as well as between social participation and education level. The study achieves a binational approach to the reality of older adults in Latin America and confirms that there are differences in each sample that are due to the particularities of each reality. This research contributes to deepening the reality of the elderly, especially in Ecuador, where the quality-of-life studies in all age segments must be strengthened.
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Wan Abdul Rahim, Wan Syarifah, Nur Atiqah Azman, Erna Faryza Mohd Poot, Akehsan Dahlan e Aini Fazdilah Zainudin. "ASSOCIATION OF LEISURE PARTICIPATION AND SOCIAL SUPPORT OF OLDER PERSONS IN KEDAH". Journal of Health and Translational Medicine sp2023, n.º 1 (15 de setembro de 2023): 96–101. http://dx.doi.org/10.22452/jummec.sp2023no2.11.
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Reaching towards ageing nation in 2030, Malaysia prepares its older persons to be in better conditions with provision of a better long-term care emphasizing health, well-being, and quality of life with one of its components to be engaged in leisure activities. Older persons known to occupy their free time with leisure activities as their daily occupation. However, those activities were restricted while pandemic affecting all population globally. This study identified if the leisure participation still engaged by older persons during the post-pandemic era. A cross-sectional study enrolled 137 older persons living in Kedah via purposive sampling. Leisure Participation Questionnaire was utilized to measure the leisure activities participated by the older persons. Majority of older persons engaged in leisure activity during the post pandemic era with reading (n = 107, 78.1%), watching television (n = 98, 71.5%), cooking or baking (n = 94, 68.6%), chit-chatting (n = 88, 64.2%), and less than half spending time with grandchildren (n = 66, 48.2%). Cognitive, productive and recreational leisure activity are dominant among female while male only dominant at social leisure activity. The productive leisure activity shown a significant association with social supports received from family members rather than friends (p < 0.05). Older persons were highly engaged in indoor-type specifically cognitive activities in comparison with outdoor-type recreational activities as their leisure during the post-pandemic era. This findings as an eye opener for the community to engage and expose in various types of leisure. Besides, professional and carers would be responsible to educate and develop significant intervention strategies for integrating leisure as a means of improving quality of life and well-being to promote healthy aging.
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Lemmon, Megan, Sarah E. Patterson e Molly A. Martin. "Mothers’ Time and Relationship With Their Adolescent Children: The Intersecting Influence of Family Structure and Maternal Labor Force Participation". Journal of Family Issues 39, n.º 9 (28 de fevereiro de 2018): 2709–31. http://dx.doi.org/10.1177/0192513x18756929.
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We investigate whether the anticipated risks of increasing maternal work hours for mother–adolescent relationships differ across family structures: Do intensive mothering norms exacerbate these risks particularly for mothers in two-parent biological families or does their partners’ greater involvement significantly mitigate these risks? We predict mothers’ accessible time, engaged time, and the quality of their relationship with their adolescent children using the National Study of Adolescent to Adult Health. Although the association between mothers’ labor force participation and mothers’ accessible time is significantly weaker in stepfather families relative to two-parent biological families, family structure does not moderate the associations between mothers’ labor force participation and mother’s engaged time or the quality of her relationship with her adolescent. We conclude that mothers face strong normative pressure to privilege their relationship with their child even in the face of long work hours and weaker family support.
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Dang, Nhu, Soryan Kumar, Michelle Kwon, Michael Cradeur, Katherine Zeven, Mihir Khunte, Daniel Marino et al. "EFFECTS OF ACTIVE PATIENT PARTICIPATION IN AN INFLAMMATORY BOWEL DISEASE QUALITY IMPROVEMENT PROGRAM ON HEALTHCARE UTILIZATION OUTCOMES". Inflammatory Bowel Diseases 29, Supplement_1 (26 de janeiro de 2023): S53. http://dx.doi.org/10.1093/ibd/izac247.103.
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Abstract BACKGROUND Although previous studies have shown that participating in a structured national quality improvement program improves healthcare utilization for patients with inflammatory bowel disease (IBD), it is not known whether the extent of active participation influences health outcomes. Patients in the IBD Qorus Learning Health System self-report symptoms and treatment goals prior to clinic visits via electronic surveys, which facilitates disease surveillance and patient-provider co-production of care. This study assesses the relationship between active patient participation and IBD-related healthcare utilization outcomes. METHODS We reviewed electronic health records and surveys of patients with IBD from a private community gastrointestinal practice participating in Qorus for two years after they submitted the first pre-clinic survey. The study period was from 2016 to 2021. Primary outcomes were times from the first survey to an IBD-related ED visit/hospitalization, urgent message*, and CT-scan use. Participation score was calculated as a ratio of eligible surveys (submitted within two weeks prior to clinic visits) to the number of clinic visits, with a ratio <0.5 representing inactive participation and ≥0.5 representing active participation. Cox proportional hazards regression was performed to determine the relationship between active participation and healthcare utilization, controlling for potential confounders such as IBD subtype, baseline clinical disease activity, steroid use, and six-months-prior IBD-related ED visit/hospitalization and CT scan use. The “survival time” was defined as the time from the first survey to IBD-related healthcare utilization events, loss of follow-up in the electronic health records, or two years, whichever occurred earliest. RESULTS Out of 244 patients, 122 were inactive participants and 122 were active participants. Among inactive participants, 23.8% experienced an IBD-related ED visit/hospitalization, 27.9% sent an urgent message, and 12.3% received a CT scan. Among active participants, 18.9 % experienced an IBD-related ED visit/hospitalization, 21.3% sent an urgent message, and 12.3% received a CT scan (Table 1). Active and inactive (reference) Qorus participants were not statistically different in their healthcare utilization: ED visit/hospitalization (HR 0.61[95% CI 0.34-1.09]), sending an urgent message (HR 0.68 [95% CI 0.40-1.15]), and CT scan use (HR 1.00 [95% CI 0.47-2.13]), after adjusting for confounders (Table 2). CONCLUSION Although active participants show numerically less frequent ED visit/hospitalization and urgent message than inactive participants, there was not a statistically significant association between participation and healthcare utilization. A greater sample size is needed to draw further conclusions to inform future strategies to engage patients and optimize health outcomes.
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Sessions, Judith A., Alex Schenck e Aaron K. Shrimplin. "LibQUAL+™ at Miami University: a look from outside ARL". Performance Measurement and Metrics 3, n.º 2 (1 de agosto de 2002): 59–68. http://dx.doi.org/10.1108/14678040210440946.
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This case study presents data generated from Miami University Libraries’ participation in LibQUAL+™ 2000‐2001, a national service quality survey for libraries. Miami’s data are analyzed through a series of questions to identify client service needs, evaluate current service levels, and place local results within the broader context of aggregate scores and score norms from all participating institutions. Finally, questions are raised about the extent of LibQUAL+™’s relevance both for libraries that are not members of the Association of Research Libraries (ARL) and for organizational planning beyond traditional library services.
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Giri, Paresh C., Gizelle J. Stevens, Jeanette Merrill-Henry, Udochukwu Oyoyo e Vijay P. Balasubramanian. "Participation in pulmonary hypertension support group improves patient-reported health quality outcomes: a patient and caregiver survey". Pulmonary Circulation 11, n.º 2 (abril de 2021): 204589402110132. http://dx.doi.org/10.1177/20458940211013258.
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Support group participation has been shown to be effective in many chronic medical conditions. The evidence for integrating support group into pulmonary hypertension care and its effect on quality of life, physical and psychological well-being is limited. We sought to assess the effect of support group participation on quality of life in patients diagnosed with pulmonary hypertension and their caregivers. The emPHasis-10 questionnaire (a tool validated for quality of life assessment in pulmonary hypertension) was used to evaluate the effect of support group participation. Additional demographic and health-related quality measures were examined. Results showed that 165 subjects were enrolled in the study; 122 (74.4%) were patients with pulmonary hypertension, 41 (25.0%) were their caregivers, and 2 (0.02%) did not respond. The cohort was predominantly female ( n = 128, 78%), Caucasian ( n = 10, 61%), and the principal self-reported classification of pulmonary hypertension was World Health Organization Group 1 ( n = 85, 51.8%) and the self-reported New York Heart Association Functional Class was II and III ( n = 43, 57.3%). Most participants ( n = 118, 71.5%) attended support groups and of them, a majority ( n = 107, 90.6%) stated it helped them. There was no difference in quality of life as assessed by emPHasis-10 scores with support group participation (median score 30 vs 32, p = 0.387). There was self-reported improvement in understanding condition better including procedures such as right heart catheterization, medication compliance, and confidence in self-care ( p < 0.05). Using multivariate logistic regression, baseline variables that were independently associated with emPHasis-10 scores for the entire cohort included knowledge of New York Heart Association Functional Class (odds ratio: 1.919, 95% CI: 1.004–3.67, p = 0.04) and greater distance traveled to visit pulmonary hypertension physician (odds ratio: 1.391, 95% CI: 0.998--1.94, p = 0.05). In conclusion, support group participation does not improve quality of life as assessed by emPHasis-10 scores but improves other meaningful health-related quality outcomes.