Дисертації з теми "Research adherence"
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Smith, Ronald Andrew. "Social psychological factors in exercise adherence in adults." Thesis, University of Exeter, 1994. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.260791.
Повний текст джерелаGillespie, David. "Medication adherence in clinical research and associated methodological challenges." Thesis, Cardiff University, 2016. http://orca.cf.ac.uk/100031/.
Повний текст джерелаModi, Avani C. "Adherence in children with cystic fibrosis and asthma." [Gainesville, Fla.] : University of Florida, 2004. http://purl.fcla.edu/fcla/etd/UFE0005641.
Повний текст джерелаTypescript. Title from title page of source document. Document formatted into pages; contains 94 pages. Includes Vita. Includes bibliographical references.
Playbell, Stella Moustaka. "A research adherence to medical treatments among adults in Cyprus." Thesis, Loughborough University, 2005. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.419903.
Повний текст джерелаBlanco, de Tena Davila David. "Assessing interventions to improve adherence to reporting guidelines in biomedical research." Doctoral thesis, Universitat Politècnica de Catalunya, 2020. http://hdl.handle.net/10803/669233.
Повний текст джерелаLa falta de transparencia y precisión de los informes de investigación es uno de los principales factores asociados al derroche de recursos financieros invertidos en investigación. Las guías de publicación (¿Reporting Guidelines¿, RGs) especifican cómo los investigadores han de informar de los métodos y resultados de sus estudios, de tal forma que los manuscritos contengan toda la información esencial para los lectores. Hoy en día, existen más de 400 RGs para distintos tipos de estudios, datos y áreas clínicas. Sin embargo, el nivel de adherencia a las RGs es deficiente. Por tanto, es necesario explorar qué estrategias para mejorar la adherencia a las RGs se pueden implementar en distintos momentos del proceso de investigación. Esta tesis tiene tres objetivos: (i) identificar, clasificar y analizar qué intervenciones para mejorar la adherencia a las RGs han sido descritas en la literatura biomédica, y determinar qué lagunas existen en la evaluación de intervenciones, (ii) explorar las percepciones de los editores biomédicos expertos sobre distintas intervenciones que afectan a los procesos editoriales, y (iii) evaluar el impacto de una intervención diseñada a partir de los estudios relativos a los objetivos (i) y (ii). Para alcanzar el primer objetivo, realizamos una revisión exploratoria. Esta revisión nos permitió identificar 31 intervenciones que agrupamos en cinco categorías: formación en el uso de RGs; mejora de la comprensión de las RGs; verificación de la adherencia a las RGs y propuestas de mejora para los autores; y colaboración de expertos. Además, identificamos algunas lagunas en las evaluaciones de intervenciones (i) relativas a la formación y mejora de la comprensión de las RGs, (ii) en fases iniciales del proceso de investigación (educación, solicitud de financiación o elaboración de protocolos), y (iii) después de la aceptación para publicación del manuscrito de investigación (durante el proceso de edición, o la revisión post-publicación del artículo). Por otro lado, mostramos que una de las intervenciones editoriales más populares, que consiste en requerir que los autores completen y envíen la lista de verificación de la RG adecuada junto con su manuscrito, no garantiza la adherencia a esta RG. En relación con el segundo objetivo, realizamos una encuesta para editores expertos de revistas biomédicas. Estos expresaron mayoritariamente que la intervención potencialmente más efectiva sería involucrar a profesionales formados en el contenido de las RGs, aunque podría requerir un gran volumen de recursos. Además, los participantes apuntaron que los revisores por pares no deberían encargarse de verificar la adherencia a las RGs ya que normalmente carecen de la formación y el tiempo necesarios para realizar esta labor. Finalmente, identificamos las ventajas e inconvenientes de diversas intervenciones prometedoras, así como distintos tipos de incentivos para promover el uso de las RGs. De cara al tercer objetivo, llevamos a cabo un ensayo aleatorizado con el propósito de analizar, en 24 ensayos aleatorizados recibidos por la revista médica BMJ Open, el efecto de involucrar en el proceso editorial a un experto en CONSORT (la RG para ensayos aleatorizados) que evaluase las guías de verificación enviadas por los autores y les propusiese mejoras. Los resultados señalaron que los manuscritos que pasaban por este proceso eran más completos que los que seguían el proceso estándar. A raíz de esto, proponemos que las revistas ajusten sus procesos de revisión y busquen formas de hacer viable esta intervención. En esta tesis, hemos demostrado la eficacia de la inclusión en los procesos editoriales de expertos en la presentación de informes científicos. Además, hemos analizado diversas intervenciones que pueden ser evaluadas en el futuro. Desarrollar soluciones efectivas para mejorar la adherencia a las RGs es clave para aumentar el impacto social de la investigación biomédica y reducir el derroche de recursos financieros.
La manca de transparència y precisió dels informes d’investigació és un dels principals factors associats al malbaratament de recursos financers invertits en investigació. Les guies de publicació ("Reporting Guidelines", RGs) especifiquen com els investigadors han d'informar dels mètodes i resultats dels seus estudis, de manera que els manuscrits continguin tota la informació essencial per als lectors. Avui dia, n’hi ha més de 400 RGs per a diferents tipus d'estudis, dades i àrees clíniques. Tanmateix, el nivell d’adherència a les RGs és deficient. Per tant, és necessari explorar quines estratègies per millorar l'adherència a les RGs es poden implementar en diferents moments del procés d'investigació. Aquesta tesi té tres objectius: (i) identificar, classificar i analitzar quines intervencions han estat descrites per millorar l'adherència a les RGs en la literatura biomèdica, i determinar quines mancances existeixen en l'avaluació d'intervencions, (ii) explorar les percepcions dels editors biomèdics experts sobre diferents intervencions que afecten als processos editorials, i (iii) avaluar, en un context editorial real, l'impacte d'una intervenció dissenyada a partir dels estudis relatius als objectius (i) i (ii). Per assolir el primer objectiu, vam realitzar una revisió exploratòria. Aquesta revisió ens va permetre identificar 31 intervencions que vam agrupar en cinc categories: formació en l'ús de RGs; millora de la comprensió de les RGs; verificació de l'adherència a les RGs i propostes de millora per als autors; i col·laboració d'experts. Encara més, vam detectar mancances en l’avaluació d'intervencions (i) relatives a la formació i millora de la comprensió de les RGs, (ii) en fases inicials del procés de recerca (formació, sol·licitud de finançament o elaboració de protocols), i (iii) després de l'acceptació per a publicació dels manuscrits de recerca (durant el procés d'edició, o la revisió post-publicació de l’article). D’altra banda, vam demostrar que una de les intervencions editorials més populars, que consisteix en requerir que els autors completin i enviïn la llista de verificació de la RG adequada amb el seu manuscrit, no garanteix l’adherència a aquesta RG. Per al segon objectiu, vam efectuar una enquesta dirigida a editors experts de revistes biomèdiques. Una majoria dels editors van expressar que la intervenció potencialment més efectiva seria involucrar professionals formats en el contingut de les RGs, encara que això podria requerir un gran volum de recursos. Així mateix, els participants van opinar que els revisors per parells no haurien d’encarregar-se de verificar l'adherència a les RGs ja que normalment no tenen el temps i la formació necessaris per realitzar aquesta tasca. Així mateix, vam identificar els avantatges i inconvenients de diverses intervencions prometedores, així com diferents tipus d'incentius per promoure l'ús de les RGs. En relació amb el tercer objectiu, vam portar a terme un assaig aleatoritzat amb la finalitat d’analitzar, en 24 assaigs aleatoritzats rebuts per la revista mèdica BMJ Open, l’efecte d’involucrar en el procés editorial a un expert en CONSORT (la guia per a assaigs aleatoritzats) que avalués les guies de verificació enviades pels autors i els hi proposés millores. Els resultats van indicar que els manuscrits que passaven per aquest procés eren més complets que els que seguien el procés estàndard. Arran d’això, proposem que les revistes ajustin els seus processos de revisió i busquin formes de fer viable aquesta intervenció. En aquesta tesi, hem demostrat l’eficàcia de la inclusió en els processos editorials de experts en la presentació d'informes científics. A més, hem analitzat en detall diverses intervencions que poden ser avaluades en el futur. Desenvolupar solucions efectives per millorar l'adherència a les RGs és un pas clau per augmentar l'impacte social de la recerca biomèdica i reduir el malbaratament de recursos financers.
Rickel, Katie Allison. "The influence of participant preference and perceived difficulty on exercise adherence." [Gainesville, Fla.] : University of Florida, 2005. http://purl.fcla.edu/fcla/etd/UFE0010241.
Повний текст джерелаTypescript. Title from title page of source document. Document formatted into pages; contains 35 pages. Includes Vita. Includes bibliographical references.
Bareis, Natalie. "Person-Centered Treatment to Optimize Psychiatric Medication Adherence." VCU Scholars Compass, 2017. http://scholarscompass.vcu.edu/etd/4743.
Повний текст джерелаNortham, Amy. "Colorectal cancer : a neuropsychological approach to non-adherence to screening guidelines of individuals with Lynch syndrome in the Western Cape." Master's thesis, University of Cape Town, 2010. http://hdl.handle.net/11427/11649.
Повний текст джерелаIncludes bibliographical references (p. 116-140).
Lynch syndrome (LS), the most common form of inherited colorectal cancer (CRC), carries with it a lifetime risk of approximately 80% of developing CRC. This study identified unexpected findings with regard to the relationships between neuropsychological functioning, knowledge and non-adherence within the context of LS, and highlights ways in which this might be investigated in the future.
Coombs, Julie-Anne. "The impact of stressful life events on antiretroviral treatment adherence and viral load amongst adults in Gugulethu, Cape Town." Master's thesis, Faculty of Health Sciences, 2021. http://hdl.handle.net/11427/32554.
Повний текст джерелаMehat, Pavandeep. "Pharmaceutical outcomes research to better understand medication non-adherence in patients with Systemic Lupus Erythematosus." Thesis, University of British Columbia, 2016. http://hdl.handle.net/2429/58570.
Повний текст джерелаPharmaceutical Sciences, Faculty of
Graduate
De, Abreu Chantelle Silva. "How socio-cultural factors affect cervical cancer screening adherence and treatment in disadvantaged communities in the greater Cape Town, South Africa." Master's thesis, University of Cape Town, 2015. http://hdl.handle.net/11427/13688.
Повний текст джерелаAllen, Kristen Elaina. "The Making of Medical Subjects: Medical Tourism and Its Adherence to Neoliberal Ideologies." Master's thesis, Temple University Libraries, 2011. http://cdm16002.contentdm.oclc.org/cdm/ref/collection/p245801coll10/id/208938.
Повний текст джерелаM.A.
Medical tourism is not a new phenomenon but in its current form, medical tourism or health travel is a practice that stems from the structures of the healthcare system. For citizens of countries with primarily private healthcare and citizens of countries with socialized healthcare the forces behind seeking international healthcare are economic (cheaper prices) and temporal (long queues), respectively. The foreign nation-state/patient relationship is an integral part in facilitating the medical tourist/hospital relationship and is also a way to discern discrepancies in welcomed versus unwelcomed visitors. On the one hand, medical tourists are welcomed visitors while other types of "tourists" are not. During my fieldwork as a volunteer at a private Costa Rican hospital, I was quickly made aware of the popular discourse that denigrated Nicaraguans entering Costa Rica while simultaneously catering to Euro-American tourists. This is a clear example of the discrepancy between neoliberal doctrine and neoliberal practices in that the free market promotes the transnational flow of capital while slowing or stopping altogether the flow of (certain) bodies. The United States and South Korea both issue special medical visas to medical tourists and these practices have thus far made international borders even more penetrable by the global elite and/or those with the capital to afford medical care in another country; thus graying the distinction between citizen and non-citizen. The means by which the medical tourism industry, from a marketing standpoint, attracts this global elite is through the accreditation process, which is the act of an accrediting body legitimizing a business, medical facility or school through an intense, expensive, and lengthy process. Within the medical tourism industry, hospitals located in developing nation-states are clamoring for accreditation from agencies based in the U.S. and Europe. Many in this industry believe that such accreditation will increase the number of foreign, primarily Western, patients. I argue that accreditation is a form of subjectification, because many international hospitals that cater to Western patients want to legitimize themselves through an American and/or European body even though their healthcare systems rank higher than the U.S. Accreditation makes international hospitals "qualified" to provide medical services in the eyes of Western medical tourists and the medical tourism industry as a whole, which underscores the quality and superiority of many healthcare systems in the developing world. The problems that I have undertaken is the discrepancy between neoliberalism and the flow of (certain) bodies and capital vis medical tourism and public policy as well as how accreditation is used as a form of surveillance, gaze, and subject making that renders hospitals nearly powerless to the standards set by accrediting bodies.
Temple University--Theses
Ogwu, Anthony Chibuzor. "Adherence to antiretroviral therapy amongst women commenced on treatment during pregnancy at research clinics in Botswana." Thesis, University of the Western Cape, 2010. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_4809_1308307951.
Повний текст джерелаThe study aimed to assess the level of adherence and to identify the barriers to adherence and the motivations for good adherence to antiretroviral therapy, amongst women who commenced treatment while pregnant at research clinics in Molepolole, Mochudi, Lobatse and Gaborone.
Baghazal, Anisa Abdalla. "Factors influencing adherence to Antiretroviral Therapy at a General Hospital in Mombasa, Kenya." Thesis, University of the Western Cape, 2011. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_3921_1307087899.
Повний текст джерелаSub-Saharan Africa is home to two thirds of the 33 million HIV infected individuals worldwide. In 2007 there were an estimated 1.5 million Kenyans infected with HIV, and 166 000 new infections in 2008. The introduction of antiretroviral therapy [ART] brought new hope to HIV patients. It has transformed a fatal disease to a chronic manageable condition. Kenya has made great strides in ensuring access to ART and by 2009, 308 610 patients in the country were receiving ART - which is the second highest number worldwide. The success of ART requires a sustained adherence rate to medication of more than 95% to prevent viral replication and the development of drug resistant HIV strains. Identifying the factors that influence adherence, is essential for the long-term success of public ART programmes. The current study explored patient, socio-economic, cultural, and religious and health systems factors that influence adherence to ART at the Coast Provincial General Hospital [CPGH] in Mombasa, Kenya.
Dragomir, Renne Rodriguez. "Does adherence to IHBT improve family therapy outcomes?" University of Akron / OhioLINK, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=akron1587646811820939.
Повний текст джерелаNgada, Nomonde. "Adherence to HAART: Experiences of men and women living with HIV in the Western Cape Province, South Africa." University of the Western Cape, 2010. http://hdl.handle.net/11394/8246.
Повний текст джерелаThe aim of this study was to explore how HIV positive people understand and describe their experience of taking antiretroviral treatment consistently in a strictly organised regimen. Eight participants were recruited from Ikhwezi Clinic. The participants were interviewed using an in depth interview guide. A Phenomenological data analysis was employed through which six themes emerged. The themes are forgetting and memory aids, fitting treatment into daily routine, belief in effectiveness of medication, experiences of side effects, disclosure and social support and relationship with the health care provider. The health belief model and the self-efficacy theory were applied in the study. These theories helped to understand that the decision to take treatment is not only based on the individual experiences and beliefs but the interaction with the social and environmental factors as well. Family, community and health care factors are all interconnected and play a vital role in the decision to commence and continue with HAART. The study revealed that PLWHA can adhere to antiretroviral medication if they believe in the benefits of doing so. Furthermore it became clear that experiences of men and women differ when it comes to HAART. The involvement of the inlaws as experienced by the women in this study had a negative influence in the participants' adherence routine. Further studies are needed to explore the influence of culture in decision making by women with regards to their health.
Taylor, Christopher. "Bros Like Me: Adherence to Male Role Norms in Fraternity Men." Miami University / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=miami1447937198.
Повний текст джерелаBearman, N. E. "An examination of the inter-rater reliability and internal consistency reliability of an adherence manual for psychoanalytic psychotherapy research." Thesis, University of Essex, 2009. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.510521.
Повний текст джерелаBarnett, Whitney. "Barriers to adherence in patients failing second-line antiretroviral treatment in a township in South Africa: a qualitative research study." Master's thesis, University of Cape Town, 2012. http://hdl.handle.net/11427/10134.
Повний текст джерелаThe recent scale-up of ART coverage in resource-limited settings has greatly improved access to treatment. However, literature indicates that patients on ART have high rates of non-adherence (32% to 67%), virological failure (5.2%, to 47%) and resistance to ARVs (5.4% to 80%). These patients are failing first- and second-line ART, leaving no treatment options for successful virus suppression. Yet, literature addressing facilitators and barriers faced by patients on secondline ART is scarce. This study examined factors affecting adherence to second-line ART from the perspective of clinic staff as well as second-line failure patients, assessing both individual and structural barriers. Research was conducted at a large primary-care clinic in Khayelitsha, a periurban township in Cape Town, South Africa. A literature review was conducted to present 1) rates of non-adherence, virological failure and resistance and 2) to present known facilitators & barriers faced by patients on ART, with a specific focus on second-line patients. The literature was found via PubMed and Cochrane Central Register of Controlled Trials (CENTRAL), with a preference for studies in low and middle income countries and those including second-line ART populations. The primary research used participants who were drawn from an MSF-run program to support patients failing second-line treatment.
Grose, William E. "Characterization of a genetic locus in Burkholderia pseudomallei encoding a putative biofilm-associated protein." University of Toledo Health Science Campus / OhioLINK, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=mco1301585276.
Повний текст джерелаAitaoto, Nia. "Pacific culture and type 2 diabetes: formative research to inform interventions to improve glycemic control among Pacific Islanders." Diss., University of Iowa, 2013. https://ir.uiowa.edu/etd/5404.
Повний текст джерелаMain, Jodie Jane. "Using the common-sense model of self-regulation to explore the factors associated with intentional non-adherence to preventer medication for asthma." Thesis, University of Auckland, 2007. http://hdl.handle.net/2292/2630.
Повний текст джерелаWhole document restricted, but available by request, use the feedback form to request access.
Thunander, Sundbom Lena. "The influence of gender and depression on drug utilization : Pharmacoepidemiological research in Sweden." Doctoral thesis, Uppsala universitet, Institutionen för farmaci, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-330136.
Повний текст джерелаSmith-Forbes, Enrique V. "EXPLORATION OF FACTORS ASSOCIATED WITH PATIENT ADHERENCE IN UPPER EXTREMITY REHABILITATION: A MIXED-METHODS EMBEDDED DESIGN." UKnowledge, 2015. http://uknowledge.uky.edu/rehabsci_etds/27.
Повний текст джерелаHaase, Rocco, Jennifer S. Kullmann, and Tjalf Ziemssen. "Therapy satisfaction and adherence in patients with relapsing–remitting multiple sclerosis: the THEPA-MS survey." Sage, 2016. https://tud.qucosa.de/id/qucosa%3A35540.
Повний текст джерелаGangan, Nilesh. "Factors associated with Primary Medication Non-adherence and its effect on Health Service Utilization among Medicare Beneficiaries with Cardiovascular disease." University of Toledo Health Science Campus / OhioLINK, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=mco1384537938.
Повний текст джерелаEkfeldt, Karl, and Kristoffer Hemlin. "Förbättra läkemedelsföljsamhet med hjälp av positionering." Thesis, Luleå tekniska universitet, Institutionen för system- och rymdteknik, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:ltu:diva-69041.
Повний текст джерелаThe thesis deals with non-adherence in connection with medication and the major problems that arise if a patient does not follow the medical advice. Non-adherence is a major problem today, both for society and for the individual. For society is is very costly to handle all medication errors and for the individual it can be about life or death. The purpose of this thesis is to develop an IT artifact with the purpose of improving adherence for patients taking medication daily. This is done by using a mobile application that uses Bluetooth for positioning the medicine. The artifact will serve as a support and aid by facilitating a patient that is taking medication. This research uses Design Science Research Methodology (DSRM). Contributing company in this work have been Knowit Luleå. The work resulted in an IT artifact, as well as six design principles, all based on the problem of non-adherence in order to contribute to improved adherence.
Franco, Thiago. "Estudo retrospectivo sobre a terapêutica anti-hipertensiva de uma unidade do Programa de Saúde da Família." Universidade de São Paulo, 2006. http://www.teses.usp.br/teses/disponiveis/60/60137/tde-17012007-160839/.
Повний текст джерелаIntroduction: Cardiovascular diseases are the currently leading cause of mortality in Brazil and also the set of illnesses that is the largest expense in health system. Amongst them, there is one that deserves special attention for being tied the diverse origins and to be factor of aggravation for other pathologies: hypertension. The actual model of care is characterized for curative actions and vision extremely limited in specificities of the problems. The Family Health Care Program (FHCP) considers a different way of care, structured in continuous and integral ambulatory care, considering the interaction with community as crucial for more effective actions on health promotion. The presence of a pharmaceutical care program in the FHCP promotes a better flow, quality, and perception of information regarding medicines, making drug therapy more effective with the promotion of the correct use. Objectives: To develop a methodology that allows to identify and analyze therapeutical pratices of antihypertensive drugs (Therapeutic Moment - TM). Esteem results and trends in the evolution of the blood pressure (BP) of the hypertensive patients followed by the NFHCIII. Esteem the level of adherence to the hypertension treatment and the influence of this factor in the therapeutic result of the patients. Casuistry and Methods: Population - Individuals registered in the Nucleus of Family Health Care III (NFHC-III) of the FHCP of Ribeirão Preto, with diagnosis of hypertension and accompaniment of the pathology. Sample: medical records of 73 patients. Methods - Data had been retrospectively collected relative to the period of 1.º of July of 2001 to 30 of June of 2005. Results: It was observed TM reduction in which no antihypertensives (AH) were used, reduction in the use of one single AH and increase in the average number of AH for TM (1,35 in Year 1 up to 1,89 in Year 4). Analyzing the percentage of TM in accordance with the class of AH involved, verified it predominance of prescriptions on the class of ACE (58.8%), followed for diuretics (54.4%), with betablockers and calcium channel blockers in next (19% and 18.2%, respectively). Indications of irregular use of medication in medical records of 35 (48%) patient had been found. Average percentage of the 73 patients with adequate control of BP was of 34,2%, 42,1% in the Adherent group of patients and 25.7% in Not Adherent. Conclusions: The methodology of therapeutic moments showed adequate results in the characterization of the practices of AH prescribing in the NFHC-III. This health care facility follows the recommendations of treatment of hypertension based on the Brazilian guidelines, suggesting that the drug practices tends to be rational. The majority of the patients of the NFHC-III that makes accompaniment in hypertension present values of blood pressure above of the limits internationally established. The present work also demonstrate that the problem of adherence to the treatment in the NFHC-III is similar of the already described in literature but trends of BP reduction values between the groups of adherent and not adherent patients indicates the approach of the program has obtained positive results
Cuffee, Yendelela L. "Psychosocial and Behavioral Determinants of Medication Nonadherence Among African Americans with Hypertension: A Dissertation." eScholarship@UMMS, 2012. https://escholarship.umassmed.edu/gsbs_diss/638.
Повний текст джерелаAnthony, Kathleen Hope. "Exploring Helper and Consumer Partnerships That Facilitate Recovery From Severe Mental Illness." Bowling Green State University / OhioLINK, 2005. http://rave.ohiolink.edu/etdc/view?acc_num=bgsu1131125531.
Повний текст джерелаLipman, Julianne. "Designing for Senior Wellness: An Accuracy Technology System for Home Exercise Programs in Physical Therapy." The Ohio State University, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=osu1531682658146959.
Повний текст джерелаGuedes, Erika de Souza. "Instrumento para avaliar a fidelidade de uma intervenção oferecida por telefone." Universidade de São Paulo, 2016. http://www.teses.usp.br/teses/disponiveis/7/7139/tde-15052017-145042/.
Повний текст джерелаIntroduction: The intervention fidelity involves analyzing in which extent interventions are offered as planned. It is a variable that must be investigated as a source of data on the validity and reliability of the results obtained in good quality intervention studies. Intervention fidelity assessment requires observation of the providers\' behavior during the intervention offer by means of standardized instruments. Objective: To develop a valid and reliable instrument to measure the fidelity of a psychoeducational intervention offered by telephone. Method: This methodological study was conducted in seven steps: identification of the elements of the intervention program, construction of the instrument items, development of items scaling, identification of the units for coding, item testing and review, specification of rater qualifications and development of rater training program, development and completion of the pilot testing to test validity and reliability of the instrument. The material used to develop the instrument were the Intervention Manual and 128 audios of the intervention sessions of a randomized controlled clinical trial in which the effectiveness of a psychoeducational intervention offered by telephone to family caregivers was tested. Results: The instrument developed was called Nursing Intervention Fidelity Evaluation Tool (NIFE Tool) and was divided into four parts: opening session, presentation of session content, session closure, evaluation of skills in communication, empathy, and thrustiwortiness, with 49 unique items of the tested intervention and by 18 items common to psychoeducational interventions. The instrument score can be calculated item by item, for the set of unique items of each intervention session, for the set of common items of each session or for the set of common items taken in all sessions. The instrument\'s content validity was performed by 14 experts. As indicative of the instrument\'s reliability, Cronbach\'s alpha was 0.51 for the set of common items, and ranged between 0.59 and 0.81 for the set of unique items; inter-raters agreement, according to Kappa coefficients, was moderate to substantial for 35 unique and 15 common items. Conclusion: This study allowed the development of an instrument to measure the fidelity of a psychoeducational intervention and their common items can be used in the evaluation of other interventions of the same nature offered by telephone.
Fischer, Shira H. "Factors Associated with Ordering and Completion of Laboratory Monitoring Tests for High-Risk Medications in the Ambulatory Setting: A Dissertation." eScholarship@UMMS, 2011. https://escholarship.umassmed.edu/gsbs_diss/543.
Повний текст джерелаCaraciolo, Joselita Maria de Magalhães. "Caracterização das atividades para melhoria da adesão à TARV em serviços de saúde do SUS no Estado de São Paulo." Universidade de São Paulo, 2010. http://www.teses.usp.br/teses/disponiveis/5/5137/tde-27082010-184928/.
Повний текст джерелаIntroduction: The use of antiretroviral therapy (HAART) has provided dramatic impact on AIDS mortality and improved survival. However, this scenario depends on maintaining high rates of adherence to HAART. The relevance of adherence has been recognized by the National STD/AIDS Program since the late 1990s. Despite the emphasis that the Program has given to the issue, there have been no study to date on the number and type of activities that are underway in the services. This study aimed to describe the HAART adherence support activities in Sao Paulo State HIV/AIDS clinics. Methods: We sent a semi structured questionnaire to all 179 HIV/AIDS clinics with questions about type of clinic, people on HAART, adherence assessment, activities (individual, group and for specific groups). To test association between categorical variables used the chi-square test or Fisher exact test or likelihood ratio test at a significance level of p <0.05. Cluster analysis was used to investigate each association of each answer with the variables: municipality size, type and size of the clinics. Results: 136 clinics (76%) answered the survey. Almost all (96.3%) reported encouraging adherence in clinical practice, particularly in the medical (94.1%) and nurse (67.6%) visits. Most (78,7%), reported assessing adherence by pharmaceutical records. Groups (38.2%) and lectures (28.7%) were the group activities most developed. Cluster analysis identified three groups of clinics; two of them were too different. Group 1 (27 clinics) was predominately composed by primary care clinics, with less than 100 patients, the lowest frequency of assessing adherence and fewer individual and group activities. Group 2 (51 clinics) predominately composed by HIV specialized clinics specializing, HIV/AIDS, with more than 500 patients, assessing adherence more frequently, with greater involvement of psychologists, social workers and pharmacists developing more individual and group activities. Group 3 (56 clinics) was predominately composed by medium size specialized clinics, with majority of activities similar to Group 2, except by the absence of activities to specific groups and less multidisciplinary involvement. Conclusion: Given the broad recognition of the adherence importance by the clinics, there are still few specific adherence activities. The larger and more specialized clinics tend to provide more individual and group activities, using multidisciplinary approaches. Greater attention should be given to the decentralization of care offered to people living with HIV to ensure more homogeneous quality care across the ambulatory network.
Bellenzani, Renata. "Avaliação qualitativa de uma intervenção psicossocial de cuidado e apoio à adesão ao tratamento em um serviço especializado em HIV/Aids." Universidade de São Paulo, 2014. http://www.teses.usp.br/teses/disponiveis/5/5137/tde-28042014-151308/.
Повний текст джерелаPatient\'s adherence to treatment is essential to the effectiveness of AIDS programs. The Brazilian Program recommends monitoring adherence and incorporating activities to care that promote adherence, such as individual care focusing adherence. Systematic reviews point towards greater effectiveness of complex interventions, which include conversation sessions - educational, informative, motivational counseling - between the health professional and the patient. They criticize: incomplete explanation of the theoretical-methodological bases of interventions; excessive focus on the individual level, with low incorporation of the sociocultural context; insufficient information on the fidelity to protocols. Few studies describe the \"intimacy\" of the conversation sessions. Planned for the individual care, a modality of psychosocial intervention supporting adherence had its protocol implemented in a clinical trial with adult patients with detectable viral load in a specialized care service of the Brazilian Unified Health System (SUS), in São Paulo. The following theoretical-methodological bases were adopted: the Framework of Vulnerability and Human Rights in the psychosocial dimension of Care, affiliated to a social psychology constructionist perspective in health. Focused on the notion of practical success, the intervention aimed at contributing so that people would build ways of coping better with the treatment which was the most convenient for them. Based on the health professional-patient interaction, it sought to intensify dialogic in exploring intersubjective meanings that the medication intake acquires in different scenes/scenarios. In order to qualitatively evaluate implementation, 12 cases (4 cases of each one of the health professionals who conducted the intervention) were selected among 44 cases of the experimental group. The analysis comprised two interdependent axes: a) implementation fidelity to protocol; and b) dialogic quality of conversations. The findings are presented in three papers. Variation in the implemented modalities and communicational approaches allowed the classification in four levels of increasing fidelity to protocol: level 1 (3 cases), level 2 (6 cases), level 3 (1 case), and level 4 (2 cases). Inflection towards dialogic has not completely occurred. Relational principles, such as solidarity and no reprimand, were well developed. The conversations valued singular experiences of difficulties with the treatment. Furthermore, they produced co-understandings on what happened in the daily routine. Nevertheless, the decoding of meanings in understanding \"problems\" and creating \"solutions\" prioritized the cognitive-behavioral individual level. For example, rather than dialoguing on delays/abolishing doses of medication intake in social situations concerning stigma/discrimination, it prevailed the sense of \"memory problems\" in decoding treatment failures. Programmatic and sociocultural dimensions were incipiently incorporated to the understanding of contexts and construction/imagination of strategies to cope with \"impasses\" which implied adherence losses. Mingled with the communication of cognitive-behavioral approach, there were more dialogic moments which showed to be more promising to the construction by the participants of utterances regarding satisfaction, well-being, intentions, and beneficial and practical changes to adherence. The psychosocial situations of patients influenced communication. The more complex, the more they challenge \"how to have a conversation\" about multidimensional, synergistic, serious issues which harm health. It is necessary, but insufficient, to have strategies which enhance the communication quality and psychosocial approach of adherence interventions in care. The coordination of Care as a team and social and clinical actions, both immediate and objective, should complement them in order to mitigate situations which imply serious vulnerabilities that impair AIDS treatment adherence as well as the overall health
Santos, Maria Altenfelder. "O papel dos serviços de saúde na adesão do paciente ao tratamento antirretroviral do HIV/aids: associações entre medidas de adesão e características organizacionais dos seviços do Sistema Único de Saúde que assistem pessoas vivendo com HI." Universidade de São Paulo, 2015. http://www.teses.usp.br/teses/disponiveis/5/5137/tde-21012016-154010/.
Повний текст джерелаBackground: Adherence to antiretroviral therapy (ART) is crucial for HIV/AIDS treatment success. In spite of recommendations provided for adherence promotion in HIV outpatient care facilities of the Brazilian Unified Health System (Sistema Único de Saúde - SUS), there are no standard measures for adherence monitoring in the facilities and there is little information available about adherence strategies actually implemented. This study aimed at: describing national ART adherence measures and adherence strategies conducted in public HIV care facilities; investigating relationships between adherence and care site characteristics. Methods: Between 2009 and 2011, a cross-sectional study of ART adherence was conducted with a national sample of patients treated in public health care facilities. Randomly selected study participants were: 1) care sites of different quality levels (according to a previous national evaluation of HIV care organization), located in different country regions; 2) patients receiving ART at selected sites, 18 years or older, non-pregnant. Adherence measurement was based on the WebAd-Q Questionnaire, a pre-validated web-based self-report tool that approaches three adherence dimensions: drugs, dose (number of pills) and time schedule. Answers were weighted according to patients\' probability of selection. Site characteristics were obtained based on two self-report tools answered by managers and health care teams: 1) the Qualiaids Questionnaire, which evaluates HIV care overall organizational quality; 2) the Adherence Strategies Questionnaire, which focuses on aspects specifically related to adherence promotion. Other site characteristics analyzed were: geographic region, site size (number of patients receiving ART) and municipality size (number of inhabitants). Care site performance in relation to adherence strategies was evaluated based on five domains: monitoring; adherence investigation; multidisciplinary care; group activities and strategies for special populations; professionals\' training and update. Associations between adherence measures and site characteristics were tested in logistic regression models (CI 95%, p < 0.05). Associations between adherence strategies and other site characteristics were also investigated. Results: From a total of 2,424 participants, who were receiving care at 55 facilities, 61.1% (CI 95% 58.5-63.7) reported non-adherence to one or more of the dimensions analyzed. The dimension with the largest non-adherence proportion was timing (50.9%). Overall, the facilities presented a medium performance on adherence strategies. Good organizational quality and small size were associated with better site performance and/or with conduction of specific strategies. Contrary to expectations, inverse associations of adherence with quality, care complexity (according to size) and implementation of adherence strategies were predominant. Discussion: This study indicated actions required to improve adherence work developed in the facilities, including: timing adherence promotion; prioritization of people facing adherence difficulties and populations requiring specific interventions; monitoring standardization; more efforts focusing on technical management, multidisciplinary approach, specific strategies to support adherence, and partnerships with organized civil society. The development of new analysis models in future studies should contribute to improve understanding of the relationships between adherence and care site characteristics
Lin, Yi-man, and 林宜蔓. "The Research on Swimmers’ exercise of adherence in Benefits of Leisure andWellbeing." Thesis, 2004. http://ndltd.ncl.edu.tw/handle/86925165165370673305.
Повний текст джерела國立雲林科技大學
休閒運動研究所碩士班
92
ABSTRACT The purposes of this study were to investigate the current situation of the swimmers’ benefits of leisure and wellbeing, and to explore its relationship with demographic characteristics and exercise of adherence. The subjects used in this study were 352 swimmers; the ratio of men and women was 7: 3, and the average age of the swimmers was 35.95 years old. The instruments administered to the subjects were Inventory of Leisure Benefits and Happiness. The collected data were analyzed by descriptive statistics, t-test (independent), one- way analysis of variance, person product-moment correlation, stepwise multiple regression analysis, and so on. The results of this study were as follows: 1) Wholly, the benefits of leisure of the swimmers were high. The well-being of them was medium-high degree. For the obstacles, the degrees of difficulty and overcoming were medium degree. The main obstacle was “no time.” 2) The percentage of the adherence swimmers was 69%--it was 243. According to this research, the continuous swimmers obviously had more benefits of leisure and well-being than the ones who did not exercise of adherence swimming. 3) In benefits of leisure, demographic characteristics were significant differences because of marriage, education, occupation, income, and continuity. In well-being, demographic characteristics consisted of different marriage, age, occupation, income, and adherence. 4) Evidently, benefits of leisure had much to do with well-being. 5) The results of multi- regression analyses indicate benefits of leisure, weekly times, and participating time or years were the best explanation for well-being. The explain variance of these three was 30.8%. The explanations of the findings were offered, and the applications of the study were discussed. Finally, some suggestions for future studies were provided.
Su, Ching-ching, and 蘇清菁. "Research of Correlation between Family Support and Adherence of Pulmonary Tuberculosis Patients." Thesis, 2007. http://ndltd.ncl.edu.tw/handle/68303042747821104645.
Повний текст джерела美和技術學院
健康照護研究所
95
TB has occupied 70% cases in reported infectious disease by CDC in Taiwan. It is curable if patients have treatment adherence. Since Though the side effects of medications and uncertainty of disease nature are major reasons for the non-adherence treatments, the multiple drug resistance is 2.2%, which is ten times more than 0.2% ten years prior. The purpose of this research was to examine family support and adherence of pulmonary tuberculosis patients, and to further explore the relationship among them and factors in prediction of treatment adherence. A cross- section design was investigated, purposive sampling.78 patients that had been diagnosed as TB by legal doctors and reported to CDC, treated for 3 months period were taken as samples. Quantitative structure questionnaire were interviewed, which included TB knowledge, family support and patients adherence. The result showed that there was significant correlated between the medical adherence and spouse, history of TB, and drug side effects. Emotional support is the best and message support is the worse beyond family support. The function of family support can contributes to 31% variations, is the number one predictor. Finding from this research can could help community medical TB care units that improve patient''s health education, pay attention to the discomfort caused by drug side effects, and combined family strength can also improve the treatment adherence and national disease control.
WU, HUI-CHUN, and 吳蕙君. "A Relevance Research on Patients’ Medication Adherence and Heart In-Stent Restenosis." Thesis, 2017. http://ndltd.ncl.edu.tw/handle/03707183917684907453.
Повний текст джерела亞洲大學
生物資訊與醫學工程學系碩士在職專班
105
As the development of advanced technology and the enhancement of life quality, the population of people suffering from cardiovascular disease is rising due to unhealthy dietary habits and scarcity of doing exercise. Stent implantation which can make patients recover rapidly has already become one of the main treatment. After the treatment, patients need to follow doctor’s prescription to take the medicine correctly to prevent restenosis. However, the highly researchable NHIRD can inspect patients’ medical history. As a result, the purpose of the study is to verify the relevance of patients’ medication adherence and heart in-stent restenosis. This study adopts patients who have implanted one stent based on Bare Metal Stent(BMS) or Drug Eluting Stent(DES) from 2008 to 2011 as the sample and then tracks their dual medication possession ratio(MPR) as their medication adherence. Using appropriate statistical analysis investigates restenosis between BMS and DES. Finally, analyze the relations between restenosis and patients’ medication adherence on using BMS or DES. It turns out that the percentage of heart in-stent restenosis on using DES is lower than using BMS and patients’ medication adherence on using BMS or DES has no correlations with heart in-stent restenosis. This study also shows other results from two different stent types and patients’ medication adherence on using BMS or DES. First, on two different stent types: 1.More men than women have implanted heart stents and the median of patients’ age are 67 and 64 on BMS and DES. 2.The risk of smoking and the alcohol intake is increasing on patients using BMS; while patients using DES have higher risk of suffering from hyperlipidemia and obesity. 3.Most BMS patients live in central Taiwan and the area of lower urbanization. Their comorbidity is higher on account of lower socioeconomic status; while most DES patients live in north Taiwan and the area of higher urbanization. Their comorbidity is lower on account of higher socioeconomic status. Second, on patients’ medication adherence on using BMS or DES: 1.From selected BMS patients who can be tracked more than six months and use dual anti-platelet agents(DAPT), there was no correlation between medication adherence and restenosis of patients using BMS. 2.From selected DES patients who can be tracked more than one year and use dual anti-platelet agents(DAPT), there was no correlation between medication adherence and restenosis of patients using DES.
Ou, Yu-ching, and 歐又菁. "Adherence to Guarding Life – A Narrative Research on a Stray Dogs Caregiver’s Life." Thesis, 2012. http://ndltd.ncl.edu.tw/handle/45531611067421908031.
Повний текст джерела國立臺東大學
教育學系(所)
101
This study adopted qualitative research method, based on the researcher’s own narrative life story, supplemented by significant others’ semi-structured interviews. This research discussed the influences of stray dogs adoption on family relationships, social interaction, marriage life and career planning, and learned about the difficulty of self-esteem building for stray dogs’ caregivers, and finally to reflected on the significance of this experience in life. The study found that long-term stray dogs carergivers, not only his own life was compressed into the invisible, family relationships, social interaction, marriage life and career planning will lead to great changes. They found it difficult to build self-esteem when blamed and alienated by the public. The reason they adhered to guard the vulnerable life so persistently was hoping that the situation of Taiwan's stray dogs can be better someday.
Wang, Chi-Fen, and 王紀芬. "Adherence to World Cancer Research Fund Cancer Prevention Recommendations and Cancer Incidence in Taiwan." Thesis, 2010. http://ndltd.ncl.edu.tw/handle/39434139649110462203.
Повний текст джерела國防醫學院
公共衛生學研究所
98
In 2007, the World Cancer Research Fund (WCRF) and American Institute for Cancer Research (AICR) published “Food, Nutrition, Physical Activity, and the Prevention of Cancer: A Global Perspective” It suggests that body fatness, physical activity, foods and drinks that promote weight gain, plant foods, animal foods, processing preparation, alcoholic drinks, and dietary supplements can contribute to the incidence of cancer. The present study has examined the association between compliance with WCRF/AICR recommendations and cancer incidence in Taiwanese. Datasets used for analysis were the Nutrition and Health Survey in Taiwan (NAHSIT 1993-1996), and Elderly Nutrition and Health Survey in Taiwan (NAHSIT Elderly, 1999-2000). Participants’ cancer incidence data were obtained from the Cancer Registry (up to 2006), National Health Insurance Research Database (up to 2006), and National Death Certification data (up to 2008). Cox proportional hazards regression models was used to estimate hazard ratios (HR) and 95% confidence intervals (95% CI). The means of follow-up years were 11.2 in NAHSIT 1993-1996 and 5.93 in NAHSIT Elderly, the crude cancer incidence rates were 7.02 per 1000 person-years and 22.4 per 1000 person-years respectively. After adjustment for gender, age, region, education, smoking status, and betel nut chewing, the subjects aged 30-64 years who adhered to the processing preparation recommendation in WCRF/AICR had a hazard ratio for cancer incidence of 0.62 (95%CI:0.15-0.97). We also adjusted for the eight recommendations, and found that compliance with processing preparation recommendations had a significantly reduced overall cancer risk (HR:0.37, 95% CI:0.15-0.95) and malignant neoplasm of digestive organs and peritoneum (HR:0.22, 95% CI:0.07-0.70) respectively in NAHSIT 1993-1996 and NAHSIT Elderly. In conclusion, adherence to WCRF/AICR recommendations to maintain healthier dietary patterns and life styles can prevent cancer in adult population.
Hsieh, Kun-Pin, and 謝坤屏. "Outcome Research of Medication Persistence and Adherence to Hormone Therapy in Women with Breast Cancer." Thesis, 2014. http://ndltd.ncl.edu.tw/handle/x786s3.
Повний текст джерела高雄醫學大學
藥學研究所
102
Background: The influence of interruption of and non-adherence to hormone therapy (HT) on Asian women with breast cancer has not been extensively evaluated. Aim: A Taiwanese population-based database is used to investigate HT utilization patterns and risk factors of the interruption of and non-adherence to HT and to evaluate the association between interruption/non-adherence and long-term clinical outcomes and economic outcomes in women with breast cancer. Method: This study was conducted using the Taiwan Health Insurance Research Database from 2002 to 2011. Women newly diagnosed with breast cancer that was treated with HT, including tamoxifen and aromatase inhibitors, were included. Cox and competing risk regressions were used to assess the interruption risk factors (prescription gap>180 days). Logistic regression was used to evaluate the factors associated with non-adherence (medication possession ratio<80%) in patients consistently receiving HT. The hazard ratios (HR) of treatment interruption and non-adherence in mortality were estimated with Cox regression. Cost effectiveness analysis (CEA) was conducted to evaluate the economic aspect of HT non-adherence in women with breast cancer from the perspective of Taiwan’s National Health Insurance. Results: The rates of interruption of and non-adherence to HT were 13.6% and 23.5%, respectively. A younger age (younger than 50 years old at the time of diagnosis), switching HT treatments, and adverse events all influenced HT interruption. Furthermore, the risk factors of non-adherence also included women in the primary HT group and administrated chemotherapy (CT) and tamoxifen users. Interruption of (HR: 1.32; 95% CI: 1.20, 1.46; p<0.0001) and non-adherence to (HR: 1.45; 95%CI: 1.32, 1.59; p<0.0001) adjuvant HT were significantly associated with increased mortality. Higher breast cancer-related healthcare costs were significantly associated with HT non-adherence (p<0.0001), and the incremental cost-effectiveness ratios for adherence compared to non-adherence were New Taiwan Dollars -(NTD) 17,478 and -NTD 18,340 per follow-up year in surgery (OP) with CT group and OP group, respectively. Conclusion: Treatment interruption and non-adherence to adjuvant HT were found in Taiwanese breast cancer women and associated with increasing all-cause mortality and healthcare costs; increasing HT adherence was cost-effective for one year of follow-up.
Pan, Nan-cheng, and 潘南城. "The research of the application of PU water-repellence material adherence to the RC building roof." Thesis, 2009. http://ndltd.ncl.edu.tw/handle/88902149510128737666.
Повний текст джерелаPortillo, Wilfredo. "Mobile Technology to Improve Adherence in Patients with Diabetes: Systematic Review." Thesis, 2013. http://hdl.handle.net/1805/3441.
Повний текст джерелаBACKGROUND: The pathophysiology of diabetes mellitus and the need for vigilant monitoring of serum glucose levels lends itself well to prompt medical intervention by healthcare providers that can significantly reduce morbidity and mortality and improve patient quality of life. The effect of intervention in diabetes can be assessed by following objective laboratory measurements such as hemoglobin A1C, which is abnormal with poorly controlled diabetes and returns to normal with proper management. There are mobile technologies now available that allow for self-monitoring and intervention in this patient population. Using a systematic approach this paper will assess the benefits of Short Message Services and mobile technology in managing patients with diabetes and improving adherence and other outcomes. OBJECTIVE: To assess the benefits and disadvantages the use of mobile technology could have in the management of diabetes. METHODOLOGY: A systematic review of articles on this topic was performed. A total of 759 articles were initially identified by searching various search engines, from which only 39 articles met all of the inclusion/exclusion criteria of this systematic review. FINDINGS: The initial review of literature indicated that the use of mobile technology in patients with diabetes resulted in improved disease outcomes as indicated by parameters such as a decrease in hemoglobin A1C, and an increase in sustainable blood glucose levels. CONCLUSION: Mobile technology is found to be a promising tool in the management of diabetes, but further research is needed because there is a lack of reliable studies, trials, and systematic reviews. Physicians and other healthcare professionals are rapidly adopting mobile technology for use in clinical practice because they understand the rising phenomenon of mobile technology.
Schoenfield, Laura J. "The predictive ability of adherence to homework and skill acquisition for treatment outcome in parent-child interaction therapy." 2004. http://purl.fcla.edu/fcla/etd/UFE0004877.
Повний текст джерелаTypescript. Title from title page of source document. Document formatted into pages; contains 36 pages. Includes Vita. Includes bibliographical references.
McCulloch, Mary Ann Ciko. "The relationship between traditional religiosity and adherence to treatment in insulin dependent diabetes mellitus clients a research project submitted in partial fulfillment ... /." 1985. http://catalog.hathitrust.org/api/volumes/oclc/68787922.html.
Повний текст джерелаOliveira, Andreia Manuela Pereira. "The experience sampling method in the context of the first episode of psychosis : ethical challenges for clinical research." Master's thesis, 2021. http://hdl.handle.net/10451/51512.
Повний текст джерелаIntrodução: A aplicação do Experience Sampling Method (ESM) tem vindo a aumentar no contexto de perturbações psiquiátricas. Apesar das múltiplas vantagens, este método pode causar um fardo (burden) demasiado alto. Assim, é importante o estudo do fardo em estudos utilizando o ESM em pessoas com primeiro episódio psicótico. O objetivo deste estudo é avaliar o fardo momentâneo através de informação obtida pelo ESM e a sua relação com 1) fardo avaliado retrospetivamente, 2) crítica para a sua perturbação, 3) adesão à metodologia. Métodos: Realizou-se um estudo em indivíduos com primeiro episódio psicótico (n=28) utilizando o ESM através de smartphone durante 10 dias, com 8 questionários por dia. O fardo avaliado retrospetivamente, a adesão e o nível de crítica foram avaliados, assim como a sua relação com o fardo ao longo do estudo. Resultados: O uso de ESM no contexto de primeiro episódio psicótico não foi percecionado pelos indivíduos como oneroso e o fardo não foi considerado preditor de abandono do estudo. Conclusão: Este estudo demonstra que o ESM parece ser bem tolerado por indivíduos com diagnóstico recente de psicose, embora a existência de heterogeneidade inter-indivíduos aconselhe ainda alguma precaução.
Background: The use of smartphone-based Experience Sampling Method (ESM) in the context of psychiatric disorders has been increasing. A more exhaustive understanding of perceived momentary burden in patients with a first episode of psychosis in ESM studies is crucial. The objective of this study was to investigate patient-perceived momentary burden through ESM and clinician assessment ratings. Methods: Patients with a first episode of psychosis (n = 28) participated in a smartphone-based ESM 10-day monitoring period, signaled eight times per day. Our primary outcome was the momentary perceived burden. Results: The findings suggest that the use of ESM in the context of first episode of psychosis was not, on average, perceived by patients as burdensome and the momentary burden was not found to be a predictor of the drop-out status. Conclusion: This study demonstrates that ESM is overall well tolerated by patients with a first episode of psychosis, however, inter-individual heterogeneity warrants some caution.
Northcott, Amanda. "If She Can Do It, I Can Do It: An exploratory analysis of peer mentoring as an intervention strategy to increase exercise program adherence in sedentary adults with chronic health conditions." Thesis, 2011. http://hdl.handle.net/1974/6790.
Повний текст джерелаThesis (Master, Kinesiology & Health Studies) -- Queen's University, 2011-09-29 10:44:19.343
Winger, Joseph G. "Diet and exercise intervention adherence and health-related outcomes among older long-term breast, prostate, and colorectal cancer survivors." Thesis, 2013. http://hdl.handle.net/1805/5068.
Повний текст джерелаGiven the numerous benefits of a healthy diet and exercise for cancer survivors, there has been an increase in the number of lifestyle intervention trials for this population in recent years. However, the extent to which adherence to a diet and exercise intervention predicts health-related outcomes among cancer survivors is currently unknown. To address this question, data from the Reach out to ENhancE Wellness in Older Cancer Survivors (RENEW) diet and exercise intervention trial were analyzed. RENEW was a yearlong telephone and mailed print intervention for 641 older (>65 years of age), overweight (body mass index: 25.0-39.9), long-term (>5 years post-diagnosis) survivors of colorectal, breast, and prostate cancer. Participants were randomized to the diet and exercise intervention or a delayed-intervention control condition. The RENEW telephone counseling sessions were based on determinants of behavior derived from Social Cognitive Theory (SCT) (e.g., building social support, enhancing self-efficacy). These factors have been hypothesized to improve health behaviors, which in turn should improve health outcomes. Thus, drawing on SCT and prior diet and exercise research with cancer survivors, I hypothesized that telephone counseling session attendance would be indirectly related to health-related outcomes (i.e., physical function, basic and advanced lower extremity function, mental health, and body mass index) through intervention-period strength and endurance exercise and dietary behavior (i.e., fruit and vegetable intake, saturated fat intake). The proposed model showed good fit to the data; however, not all of the hypothesized relationships were supported. Specifically, increased telephone counseling session attendance was related to engagement in all of the health behaviors over the intervention period. In turn, (a) increased endurance exercise was related to improvement in all of the health-related outcomes with the exception of mental health; (b) increased strength exercise was solely related to improved mental health; (c) increased fruit and vegetable intake was only related to improved basic lower extremity function; and (d) saturated fat intake was not related to any of the health-related outcomes. Taken together, these findings suggest that SCT determinants of behavior and the importance of session attendance should continue to be emphasized in diet and exercise interventions. Continued exploration of the relationship between adherence to a diet and exercise intervention and health-related outcomes will inform the development of more cost-effective and efficacious interventions for cancer and other medical populations.
Mutasa, Kuda. "Pharmacy refills as a measure of adherence to antiretroviral therapy for HIV positive patients at Mpilo Central Hospital in Bulawayo Zimbabwe." Diss., 2015. http://hdl.handle.net/10500/19640.
Повний текст джерелаHealth Studies
M.A. (Public Health)