8 research outputs found

    Proceedings of the 2018 Canadian Society for Mechanical Engineering (CSME) International Congress

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    Published proceedings of the 2018 Canadian Society for Mechanical Engineering (CSME) International Congress, hosted by York University, 27-30 May 2018

    Jahresbibliographie der Universität München. Band 16 für das Jahr 1984

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    Individual differences in psychological adjustment to perceived abnormalities of appearance

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    Merged with duplicate record (10026.1/764) on 03.01.2017 by CS (TIS)This is a digitised version of a thesis that was deposited in the University Library. If you are the author please contact PEARL Admin ([email protected]) to discuss options.The aim of this programme of research was to investigate the differences between individuals in their psychological adjustment to perceived abnormalities of appearance. The first phase of the research was to refine and validate a measure of distress and dysfunction associated with having an appearance which is different from normal. Over 500 patients in plastic reconstructive surgery units were recruited as participants in a nationwide multi-centre trial. The resulting measure, the Derriford Appearance Scale 24r was shown to have good psychometric properties, and was used as a criterion measure of adjustment. A series of clinical interviews were conducted with contrasting groups of individuals identified as being either good or poor adjusters. Three analyses were carried out. The first took a grounded theory approach to the open ended section of the interviews. This produced an integrated phenomenological account of living with differences of appearance. It also demonstrated differences between the two groups - poor adjustment was associated with a more threatening and negative appraisal of situations and the self. The negative self view was more salient to the poor adjusters. The second analysis of the interview data was a hypothesis testing content analysis, designed to eliminate competing candidate hypotheses generated from the general psychology literature. From this study, it was shown that poor adjusters have a greater degree ofnegative appearance related thoughts, and a more negative appraisal of situations. They were both more pessimistic, and experienced more anticipatory anxiety. Using the interview sample, a third study was conducted, based on self-discrepancy theory. Poor adjusters were shown to place more value on their appearance, and have a greater discrepancy between their 'actual' and 'ideal appearance' selves than the good adjusters. On the basis of the interview studies, two further main empirical studies were carried out. The first tested comprehension of social cues. This did not differentiate the good and poor adjustment groups. Methodological, as well as theoretical reasons for this were proposed. The final study investigated the organisation of self-knowledge, using a sample of 70 participants recruited from a plastic and reconstructive surgery unit, and from two support groups. It was found that there were important differences between the adjustment groups. A high level of compartmentalisation of specific appearance information, greater levels of complexity of the self-concept, and an increased level of differential importance of aspects of the self concept containing specific appearance information were all related to poor adjustment. This set of findings was integrated with the earlier work, and is theoretically interpreted within a self-schema perspective. The contribution of this thesis is to develop the understanding of individual differences in adjustment from a relatively atheoretical field to a position where future research and clinical practice can progress in a theoretically integrated and meaningful way.PCFC in collaboration with Derriford Hospita

    Using spontaneously generated online patient experiences to improve healthcare : A case study using Modafinil

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    Background Acknowledged issues with the RCT focus of EBM and recognition of the value of patient input have created a need for new methods of knowledge generation that can give the depth of qualitative studies but on a much larger scale. Almost half of the global population uses social media regularly, with increasing numbers of people using online spaces as either a first- or second-line health information and exchange resource. Estimates suggest the volume of online health related data grew by 300% between 2017 and 2020. As a data source, this unstructured freeform textual data is a form of patient generated health data, containing a mass of patient centred, contextually grounded detail about the perceptions and health concerns of those who post online. Methods for analysing it are at an early stage of development, but it is seen as having potential to add to clinical understanding, either by augmenting existing knowledge, or in aiding understanding of real-world usage of healthcare interventions and services. Objectives To explore how large-scale analysis of SGOPE can help with understanding patient perspectives of their conditions, symptoms, and self-management behaviours, assess the effectiveness of interventions, contribute to the process of knowledge and evidence creation, and consequently help healthcare systems improve outcomes in the most efficient manner. A secondary aim is to contribute to the development of methods that can be generalised across other interventions or services. Methods Using Modafinil as a case study, a multistage approach was taken. First, an exploratory study, comparing both qualitative and basic NLP techniques was undertaken on a small sample of 260 posts to identify topics, evaluate effectiveness and identify perceived causal text. An umbrella scoping review was then undertaken exploring how and for what purposes SGOPE data is currently being used within healthcare research. Findings from both then guided the main study, which used a variety of unsupervised NLP tools to explore the main dataset of over 69k posts. Individual methods were compared against each other. Results from both studies were compared and for evaluation. Results In contrast to the existing inconclusive systematic review evidence for Modafinil for anything other than narcolepsy, both studies found that Modafinil is seen as by posters as effective in treating fatigue and cognition symptoms in a wide range of conditions. Both identified the topics mentioned in the data, although more work needs to be done to develop the NLP methods to achieve a greater depth of understanding. The first study identified eight themes within the posts: reason for taking, impact of symptoms, acquisition, dosage, side-effects, comparison with other interventions, effectiveness, and quality of life outcomes. Effectiveness of Modafinil was found to be 68% positive, 12% mixed and 18% negative. Expressions of causal belief were identified. In the main study, effectiveness was measured with sentiment analysis, with all methods showing strong positive sentiment. Topic modelling identified groups of themes. Linguistic techniques extracted phrases indicating causality. Various analysis methods were compared to develop a method that could be generalised across other health topics
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