50 research outputs found

    Classroom Weblogs and Wikis How They Affect the Learning Experience with Intermediate Students

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    Embedding technology into the education setting is imperative to studentsā€Ÿ success . In this study, twenty fifth grade students utilized a classroom wiki (website) and responded to literature via Readersā€Ÿ Blogs . The affects of using the wiki and blog were revealed from analysis of the studentsā€Ÿ blogs and comments made to them, discussion pages, and the student questionnaire responses. Overall, students felt that the ability to communicate via the wiki was enjoyable and beneficial to their understanding of topics. Students reported the need for more feedback on their Readersā€Ÿ Blogs and felt that peer communication was ā€œuselessā€ or ā€œbad.ā€ Going forward, lessons on appropriate and useful comments will be taught along with consideration to enlist more adult commentators for the wiki

    Identified Stressors and Coping Mechanisms of Occupational Therapy Students

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    Introduction: The purpose of this research study was to gather data on stressors experienced by occupational therapy students during their program and how they cope with their identified stressors. The rationale for this study was the lack of and inconsistent research regarding occupational therapy students, how they experience perceived psychological stress during their program, and how they cope with their identified stressors. Methodology: The researchers utilized a quantitative exploratory survey design to discover perceived psychological stress and coping methods in Masterā€™s of Occupational Therapy (MOT) students. Prior to recruitment, Institutional Review Board (IRB) approval was received. Respondents were recruited through a convenience sampling method from (MOT) programs in the Northeast, South, West and Midwest regions of the United States. Respondents completed online versions of a demographic survey, the Perceived Stress Scale (PSS), and the Revised Ways of Coping Checklist (WCCL). The total sample size was 37 MOT students. Descriptive and inferential analysis was completed to describe the study sample and answer the research questions. Results: The results of the PSS showed MOT students to have a moderate levels of stress. Perceived psychological stress was significantly correlated with financial assistance. The mean scores on the WCCL showed our sample of MOT students used focusing on the positive, seeking social support, and problem solving coping methods. Self-blame and tension-reduction coping methods were significantly correlated with those participants living with a significant other. Males were significantly less likely than females to use problem focused and focusing on the positive coping methods. Conclusions: The findings from this study suggest MOT students experience moderate levels of stress during their academic programs. Effective and ineffective coping methods were found to be utilized as a means to cope with perceived psychological stress. Significance: The results from this study can assist future educators when developing academic programs. Additionally, the results from this study contribute to previously existing evidence regarding MOT students perceived psychological stress and coping methods

    Cognitive rehabilitation for attention and memory in people with multiple sclerosis: study protocol for a randomised controlled trial (CRAMMS)

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    Background People with multiple sclerosis have problems with memory and attention. Cognitive rehabilitation is a structured set of therapeutic activities designed to retrain an individualā€™s memory and other cognitive functions. Cognitive rehabilitation may be provided to teach people strategies to cope with these problems, in order to reduce the impact on everyday life. The effectiveness of cognitive rehabilitation for people with multiple sclerosis has not been established. Methods This is a multi-centre, randomised controlled trial investigating the clinical and cost-effectiveness of a group-based cognitive rehabilitation programme for attention and memory problems for people with multiple sclerosis. Four hundred people with multiple sclerosis will be randomised from at least four centres. Participants will be eligible if they have memory problems, are 18 to 69 years of age, are able to travel to attend group sessions and give informed consent. Participants will be randomised in a ratio of 6:5 to the group rehabilitation intervention plus usual care or usual care alone. Intervention groups will receive 10 weekly sessions of a manualised cognitive rehabilitation programme. The intervention will include both restitution strategies to retrain impaired attention and memory functions and compensation strategies to enable participants to cope with their cognitive problems. All participants will receive a follow-up questionnaire and an assessment by a research assistant at 6 and 12 months after randomisation. The primary outcome is the Multiple Sclerosis Impact Scale (MSIS) Psychological subscale at 12 months. Secondary outcomes include the Everyday Memory Questionnaire, General Health Questionnaire-30, EQ-5D and a service use questionnaire from participants, and the Everyday Memory Questionnaire-relative version and Carer Strain Index from a relative or friend. The primary analysis will be based on intention to treat. A mixed-model regression analysis of the MSIS Psychological subscale at 12 months will be used to estimate the effect of the group cognitive rehabilitation programme. Discussion The study will provide evidence regarding the clinical and cost-effectiveness of a group-based cognitive rehabilitation programme for attention and memory problems in people with multiple sclerosis. Trial registration: ISRCTN09697576. Registered 14 August 2014

    Arctic deep water ferromanganese-oxide deposits reflect the unique characteristics of the Arctic Ocean

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    Author Posting. Ā© American Geophysical Union, 2017. This article is posted here by permission of American Geophysical Union for personal use, not for redistribution. The definitive version was published in Geochemistry, Geophysics, Geosystems 18 (2017): 3771ā€“3800, doi:10.1002/2017GC007186.Little is known about marine mineral deposits in the Arctic Ocean, an ocean dominated by continental shelf and basins semi-closed to deep-water circulation. Here, we present data for ferromanganese crusts and nodules collected from the Amerasia Arctic Ocean in 2008, 2009, and 2012 (HLY0805, HLY0905, and HLY1202). We determined mineral and chemical compositions of the crusts and nodules and the onset of their formation. Water column samples from the GEOTRACES program were analyzed for dissolved and particulate scandium concentrations, an element uniquely enriched in these deposits. The Arctic crusts and nodules are characterized by unique mineral and chemical compositions with atypically high growth rates, detrital contents, Fe/Mn ratios, and low Si/Al ratios, compared to deposits found elsewhere. High detritus reflects erosion of submarine outcrops and North America and Siberia cratons, transport by rivers and glaciers to the sea, and distribution by sea ice, brines, and currents. Uniquely high Fe/Mn ratios are attributed to expansive continental shelves, where diagenetic cycling releases Fe to bottom waters, and density flows transport shelf bottom water to the open Arctic Ocean. Low Mn contents reflect the lack of a mid-water oxygen minimum zone that would act as a reservoir for dissolved Mn. The potential host phases and sources for elements with uniquely high contents are discussed with an emphasis on scandium. Scandium sorption onto Fe oxyhydroxides and Sc-rich detritus account for atypically high scandium contents. The opening of Fram Strait in the Miocene and ventilation of the deep basins initiated Fe-Mn crust growth āˆ¼15 Myr ago.National Science Foundation Grant Numbers: 1434493, 1713677; NSF-OCE Grant Number: 15358542018-05-0

    ASIME 2018 White Paper. In-Space Utilisation of Asteroids: Asteroid Composition -- Answers to Questions from the Asteroid Miners

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    In keeping with the Luxembourg government's initiative to support the future use of space resources, ASIME 2018 was held in Belval, Luxembourg on April 16-17, 2018. The goal of ASIME 2018: Asteroid Intersections with Mine Engineering, was to focus on asteroid composition for advancing the asteroid in-space resource utilisation domain. What do we know about asteroid composition from remote-sensing observations? What are the potential caveats in the interpretation of Earth-based spectral observations? What are the next steps to improve our knowledge on asteroid composition by means of ground-based and space-based observations and asteroid rendez-vous and sample return missions? How can asteroid mining companies use this knowledge? ASIME 2018 was a two-day workshop of almost 70 scientists and engineers in the context of the engineering needs of space missions with in-space asteroid utilisation. The 21 Questions from the asteroid mining companies were sorted into the four asteroid science themes: 1) Potential Targets, 2) Asteroid-Meteorite Links, 3) In-Situ Measurements and 4) Laboratory Measurements. The Answers to those Questions were provided by the scientists with their conference presentations and collected by A. Graps or edited directly into an open-access collaborative Google document or inserted by A. Graps using additional reference materials. During the ASIME 2018, first day and second day Wrap-Ups, the answers to the questions were discussed further. New readers to the asteroid mining topic may find the Conversation boxes and the Mission Design discussions especially interesting.Comment: Outcome from the ASIME 2018: Asteroid Intersections with Mine Engineering, Luxembourg. April 16-17, 2018. 65 Pages. arXiv admin note: substantial text overlap with arXiv:1612.0070

    Feasibility and acceptability of a motivational interviewing breastfeeding peer support intervention

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    An uncontrolled study with process evaluation was conducted in three U.K. community maternity sites to establish the feasibility and acceptability of delivering a novel breastfeeding peerā€support intervention informed by motivational interviewing (MI; Mamā€Kind). Peerā€supporters were trained to deliver the Mamā€Kind intervention that provided intensive oneā€toā€one peerā€support, including (a) antenatal contact, (b) faceā€toā€face contact within 48 hr of birth, (c) proactive (peerā€supporter led) alternate day contact for 2 weeks after birth, and (d) motherā€led contact for a further 6 weeks. Peerā€supporters completed structured diaries and audioā€recorded faceā€toā€face sessions with mothers. Semistructured interviews were conducted with a purposive sample of mothers, health professionals, and all peerā€supporters. Interview data were analysed thematically to assess intervention acceptability. Audioā€recorded peerā€support sessions were assessed for intervention fidelity and the use of MI techniques, using the MITI 4.2 tool. Eight peerā€supporters delivered the Mamā€Kind intervention to 70 mothers in three National Health Service maternity services. Qualitative interviews with mothers (n = 28), peerā€supporters (n = 8), and health professionals (n = 12) indicated that the intervention was acceptable, and health professionals felt it could be integrated with existing services. There was high fidelity to intervention content; 93% of intervention objectives were met during sessions. However, peerā€supporters reported difficulties in adapting from an expertā€byā€experience role to a collaborative role. We have established the feasibility and acceptability of providing breastfeeding peerā€support using a MIā€informed approach. Refinement of the intervention is needed to further develop peerā€supporters' skills in providing motherā€centred support. The refined intervention should be tested for effectiveness in a randomised controlled trial

    Feasibility and acceptability of a motivational interviewing breastfeeding peer support intervention

    Get PDF
    An uncontrolled study with process evaluation was conducted in three U.K. community maternity sites to establish the feasibility and acceptability of delivering a novel breastfeeding peerā€support intervention informed by motivational interviewing (MI; Mamā€Kind). Peerā€supporters were trained to deliver the Mamā€Kind intervention that provided intensive oneā€toā€one peerā€support, including (a) antenatal contact, (b) faceā€toā€face contact within 48 hr of birth, (c) proactive (peerā€supporter led) alternate day contact for 2 weeks after birth, and (d) motherā€led contact for a further 6 weeks. Peerā€supporters completed structured diaries and audioā€recorded faceā€toā€face sessions with mothers. Semistructured interviews were conducted with a purposive sample of mothers, health professionals, and all peerā€supporters. Interview data were analysed thematically to assess intervention acceptability. Audioā€recorded peerā€support sessions were assessed for intervention fidelity and the use of MI techniques, using the MITI 4.2 tool. Eight peerā€supporters delivered the Mamā€Kind intervention to 70 mothers in three National Health Service maternity services. Qualitative interviews with mothers (n = 28), peerā€supporters (n = 8), and health professionals (n = 12) indicated that the intervention was acceptable, and health professionals felt it could be integrated with existing services. There was high fidelity to intervention content; 93% of intervention objectives were met during sessions. However, peerā€supporters reported difficulties in adapting from an expertā€byā€experience role to a collaborative role. We have established the feasibility and acceptability of providing breastfeeding peerā€support using a MIā€informed approach. Refinement of the intervention is needed to further develop peerā€supporters' skills in providing motherā€centred support. The refined intervention should be tested for effectiveness in a randomised controlled trial

    Feasibility and acceptability of a motivational interviewing breastfeeding peer support intervention

    Get PDF
    An uncontrolled study with process evaluation was conducted in three U.K. community maternity sites to establish the feasibility and acceptability of delivering a novel breastfeeding peerā€support intervention informed by motivational interviewing (MI; Mamā€Kind). Peerā€supporters were trained to deliver the Mamā€Kind intervention that provided intensive oneā€toā€one peerā€support, including (a) antenatal contact, (b) faceā€toā€face contact within 48 hr of birth, (c) proactive (peerā€supporter led) alternate day contact for 2 weeks after birth, and (d) motherā€led contact for a further 6 weeks. Peerā€supporters completed structured diaries and audioā€recorded faceā€toā€face sessions with mothers. Semistructured interviews were conducted with a purposive sample of mothers, health professionals, and all peerā€supporters. Interview data were analysed thematically to assess intervention acceptability. Audioā€recorded peerā€support sessions were assessed for intervention fidelity and the use of MI techniques, using the MITI 4.2 tool. Eight peerā€supporters delivered the Mamā€Kind intervention to 70 mothers in three National Health Service maternity services. Qualitative interviews with mothers (n = 28), peerā€supporters (n = 8), and health professionals (n = 12) indicated that the intervention was acceptable, and health professionals felt it could be integrated with existing services. There was high fidelity to intervention content; 93% of intervention objectives were met during sessions. However, peerā€supporters reported difficulties in adapting from an expertā€byā€experience role to a collaborative role. We have established the feasibility and acceptability of providing breastfeeding peerā€support using a MIā€informed approach. Refinement of the intervention is needed to further develop peerā€supporters' skills in providing motherā€centred support. The refined intervention should be tested for effectiveness in a randomised controlled trial

    Effects of antiplatelet therapy on stroke risk by brain imaging features of intracerebral haemorrhage and cerebral small vessel diseases: subgroup analyses of the RESTART randomised, open-label trial

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    Background Findings from the RESTART trial suggest that starting antiplatelet therapy might reduce the risk of recurrent symptomatic intracerebral haemorrhage compared with avoiding antiplatelet therapy. Brain imaging features of intracerebral haemorrhage and cerebral small vessel diseases (such as cerebral microbleeds) are associated with greater risks of recurrent intracerebral haemorrhage. We did subgroup analyses of the RESTART trial to explore whether these brain imaging features modify the effects of antiplatelet therapy

    Development of a novel motivational interviewing (MI) informed peer-support intervention to support mothers to breastfeed for longer

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    Background: Many women in the UK stop breastfeeding before they would like to, and earlier than is recommended by the World Health Organization (WHO). Given the potential health benefits for mother and baby, new ways of supporting women to breastfeed for longer are required. The purpose of this study was to develop and characterise a novel Motivational Interviewing (MI) informed breastfeeding peer-support intervention. Methods: Qualitative interviews with health professionals and service providers (n=14), and focus groups with mothers (n=14), fathers (n=3), and breastfeeding peer-supporters (n=15) were carried out to understand experiences of breastfeeding peer-support and identify intervention options. Data were audio-recorded, transcribed, and analysed thematically. Consultation took place with a combined professional and lay Stakeholder Group (n=23). The Behaviour Change Wheel (BCW) guided intervention development process used the findings of the qualitative research and stakeholder consultation, alongside evidence from existing literature, to identify: the target behaviour to be changed; sources of this behaviour based on the Capability, Opportunity and Motivation (COM-B) model; intervention functions that could alter this behaviour; and; mode of delivery for the intervention. Behaviour change techniques included in the intervention were categorised using the Behaviour Change Technique Taxonomy Version 1 (BCTTv1). Results: Building knowledge, skills, confidence, and providing social support were perceived to be key functions of breastfeeding peer-support interventions that aim to decrease early discontinuation of breastfeeding. These features of breastfeeding peer-support mapped onto the BCW education, training, modelling and environmental restructuring intervention functions. Behaviour change techniques (BCTTv1) included social support, problem solving, and goal setting. The intervention included important inter-personal relational features (e.g. trust, honesty, kindness), and the BCTTv1 needed adaptation to incorporate this. Conclusions: The MI-informed breastfeeding peer-support intervention developed using this systematic and user-informed approach has a clear theoretical basis and well-described behaviour 3 change techniques. The process described could be useful in developing other complex interventions that incorporate peer-support and/or MI
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