16,914 research outputs found

    Self-help/mutual aid groups in mental health : ideology, helping mechanisms and empowerment

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    In the last quarter of the twentieth century, self-help/mutual aid groups for mental health issues started to emerge in growing numbers, mainly in Western societies, offering and/or advocating for alternative non-traditional forms of support, and attracted the attention of many researchers and clinicians for their unique characteristics. Among the subjects of interest are typologies of groups, helping mechanisms and benefits from participation. However, there is lack of systematic research in the area and existing studies have been largely confined to the therapeutic value of these groups instead of acknowledging their socio-political meaning and subsequent psychosocial benefits for their members like personal empowerment. The present study was conducted during the transitional years from a Conservative to a newly elected Labour Government (1996 -1998), with subsequent policy shifts taking place in the welfare sector. The purpose of the study was to explore the potential of self-help groups as part of a broader new social movement, the service user movement, focussing on the English scene. It addressed this issue examining the relevance of a group typology based on political ideology and focus of change. To test the validity of this classification for members, a set of individual characteristics and group mechanisms as well as their change through time were examined. The sample consisted of fourteen mental health selfhelp/mutual aid groups from London and South East England, with a variety of structural and organisational features. The methodology used was a combination of both quantitative (self-completion questionnaires) and qualitative techniques (analysis of written material, participant observation and interviews). Measurements were repeated after a one-year interval (Time 1N=67, Time 2 N=56). Findings showed that, indeed, political ideology of self-help/mutual aid groups provided the basis of a meaningful typology and constitutes a comprehensive way of categorising them. Group ideology was related to specific helping mechanisms and aspects of personal empowerment. Specifically, conservative and combined group members reported more expressive group processes like sharing of feelings and self-disclosure, while radical group members were more empowered and optimistic. Group identification was also associated with specific helping activities and aspects of empowerment in the three group categories. The psychosocial character of group types and the beneficial outcomes for members remained stable through time. In general, prolonged participation was reflected in greater member identification with the group and resulted in improved mental wellbeing, increased social support, companionship and optimism for the future

    Studies of strategic performance management for classical organizations theory & practice

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    Nowadays, the activities of "Performance Management" have spread very broadly in actually every part of business and management. There are numerous practitioners and researchers from very different disciplines, who are involved in exploring the different contents of performance management. In this thesis, some relevant historic developments in performance management are first reviewed. This includes various theories and frameworks of performance management. Then several management science techniques are developed for assessing performance management, including new methods in Data Envelopment Analysis (DEA) and Soft System Methodology (SSM). A theoretical framework for performance management and its practical procedures (five phases) are developed for "classic" organizations using soft system thinking, and the relationship with the existing theories are explored. Eventually these results are applied in three case studies to verify our theoretical development. One of the main contributions of this work is to point out, and to systematically explore the basic idea that the effective forms and structures of performance management for an organization are likely to depend greatly on the organizational configuration, in order to coordinate well with other management activities in the organization, which has seemingly been neglected in the existing literature of performance management research in the sense that there exists little known research that associated particular forms of performance management with the explicit assumptions of organizational configuration. By applying SSM, this thesis logically derives some main functional blocks of performance management in 'classic' organizations and clarifies the relationships between performance management and other management activities. Furthermore, it develops some new tools and procedures, which can hierarchically decompose organizational strategies and produce a practical model of specific implementation steps for "classic" organizations. Our approach integrates popular types of performance management models. Last but not least, this thesis presents findings from three major cases, which are quite different organizations in terms of management styles, ownership, and operating environment, to illustrate the fliexbility of the developed theoretical framework

    Foot and Ankle Impairments Affecting Mobility in Stroke

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    Introduction: Altered foot characteristics are common in people with stroke, with a third presenting with abnormal foot posture which is associated with ambulatory difficulties. Understanding the relationship between measures of foot and ankle impairment and their association with mobility and balance outcomes is therefore important; however, poor clinimetric properties of foot and ankle measures after stroke precludes evaluation of these relationships. Therefore, this research, undertaken as part of a multicentred research project, had the following aims: Study 1: To evaluate the clinimetric properties (feasibility, test–retest reliability, and clinical relevance) of measures of foot and ankle impairments, for application in people with stroke. Study 2: To examine how these measures differ between people with stroke and normal controls; and whether they are associated with mobility and balance outcomes. Methods: In Study 1, community-dwelling people with stroke, able to walk 10 m (metres), attended two testing sessions to evaluate the clinimetric properties of different foot and ankle measures. These included: static foot posture and dynamic foot loading (peak plantar pressure, PPP, contact area, CA and centre of pressure, CP) using a plantar pressure mat; isometric muscle strength using a hand-held dynamometer (HHD); peak ankle and hallux dorsiflexion and stiffness using bespoke rigs; and ankle plantarflexion spasticity using the Tardieu scale. Statistical analysis used intraclass correlation coefficients (ICCs₍₃,₁₎), standard error of measurement (SEM) and Bland–Altman plots. In Study 2, measures identified as reliable from Study 1 were incorporated in a cross-sectional study design. Participants were recruited from acute and community neurological services in East London and North Devon. Statistical analysis tested the differences between groups and between affected limbs in people with stroke. Impairment measures were evaluated using multivariate regression analysis for their association with functional outcomes: walking speed (over 10 m); Timed Up and Go (TUAG), Forward Functional Reach Test (FFRT) and presence of falls (> 1 in the last 3 months). Results: In Study 1, 21 people with stroke tested the measures. These were found to be feasible and easy to administer, although loss of data (up to 33%) was observed. All measures had moderate to excellent test–retest reliability (coefficients 0.50‒0.98), except ankle plantarflexion stiffness (ICCs₍₃,₁₎ = 0.00‒0.11). In Study 2, there were significant differences in all measures between people with stroke (n = 180) and controls (n = 46), apart from static foot posture (p = 0.670), toe deformity (p = 0.782) and peak hallux dorsiflexion (p = 0.320). Between limb differences were identified for all measures except foot posture (p = 0.489) and foot CA (p > 0.05). Multicollinearity analysis found 10 measures appropriate for multivariate regression which identified the following R² and variance explained: 59% walking speed (R² = 0.543); 49% TUAG (R² = 0.435); 36% FFRT (R² = 0.285) and 26% for Falls Presence. Conclusion: The study demonstrated that seven foot and ankle measures of impairment after stroke were clinically feasible, reliable and associated with mobility and balance outcomes. The measures were ankle and foot isometric muscle strength, sway velocity, PPP (RFT and FFT), CA (MFT and FFT) and peak ankle dorsiflexion. These measures can now be incorporated into research to examine methods to improve the treatment of foot and ankle after stroke

    Social identity theory and group diversity : an analysis of functions of group identification

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    This thesis examines differences between social groups and the relationship between ingroupidentification and ingroup bias within the framework of Social Identity Theory. The main goalof our investigation is that of understanding the reason of the variation encountered in studiestesting the identification-bias association. While one of the solutions proposed by previousresearch (Hinkle and Brown, 1990) focuses on group differences on the dimensions ofcollectivism and relational orientation, our suggestion is that of considering group differences inthe functions that drive their group identification. Two functions of group identificationemerged — between the others — as meaningful in differentiating between the four groups wetested (Psychology students, football supporters, and trade unionists): A materialistic and self-interested motivation

    Context-aware software

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    With the advent of PDAs (Personal Digital Assistants), smart phones, and other forms of mobile and ubiquitous computers, our computing resources are increasingly moving off of our desktops and into our everyday lives. However, the software and user interfaces for these devices are generally very similar to that of their desktop counterparts, despite the radically different and dynamic environments that they face. We propose that to better assist their users, such devices should be able to sense, react to, and utilise, the user's current environment or context. That is, they should become context-aware. In this thesis we investigate context-awareness at three levels: user interfaces, applications, and supporting architectures/frameworks. To promote the use of context-awareness, and to aid its deployment in software, we have developed two supporting frameworks. The first is an application-oriented framework called stick-e notes. Based on an electronic version of the common Post-It Note, stick-e notes enable the attachment of any electronic resource (e.g. a text file, movie, Java program, etc.) to any type of context (e.g. location, temperature, time, etc.). The second framework we devised seeks to provide a more universal support for the capture, manipulation, and representation of context information. We call it the Context Information Service (CIS). It fills a similar role in context-aware software development as GUI libraries do in user interface development. Our applications research explored how context-awareness can be exploited in real environments with real users. In particular, we developed a suite of PDA-based context-aware tools for fieldworkers. These were used extensively by a group of ecologists in Africa to record observations of giraffe and rhinos in a remote Kenyan game reserve. These tools also provided the foundations for our HCI work, in which we developed the concept of the Minimal Attention User Interface (MAUI). The aim of the MAUI is to reduce the attention required by the user in operating a device by carefully selecting input/output modes that are harmonious to their tasks and environment. To evaluate our ideas and applications a field study was conducted in which over forty volunteers used our system for data collection activities over the course of a summer season at the Kenyan game reserve. The PDA-based tools were unanimously preferred to the paper-based alternatives, and the context-aware features were cited as particular reasons for preferring them. In summary, this thesis presents two frameworks to support context-aware software, a set of applications demonstrating how context-awareness can be utilised in the ''real world'', and a set of HCI guidelines and principles that help in creating user interfaces that fit to their context of use

    Social Assimilation and Immigrants' Labour Market Outcomes

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    We analyse how immigrants’ level of social assimilation is related to their labour market outcomes. More precisely, we estimate the association between assimilation and employment, wages, underemployment, three measures of job satisfaction, overeducation and wages. Using Australian longitudinal data, we find that assimilation is strongly associated with employment and wages as well as a number of job satisfaction measures. We then split our data and repeat the analysis for before and after the financial crisis of 2008–2009. We find important differences in the way assimilation is associated with different measures of labour market outcomes under different economic conditions. Finally, we explore mechanisms that may underlie the results
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