The image of teachers in the media. A content analysis of reports published by "Der Spiegel" and "Focus" since 1990

"Die Berichterstattung in \u27Spiegel\u27 und \u27Focus\u27 zeichnet ein Lehrerbild, bei dem zu den Lehrpersonen selbst negative Pauschalurteile über ihre Kenntnisse und Fähigkeiten sowie ihre Arbeitshaltung dominieren, während auf den Unterricht bezogene Reportagen im Laufe der 15 Jahre zunehmend stärker innovative Modellbeispiele in den Vordergrund stellen." Forschungsmethode: empirisch-qualitativ; empirisch; Inhaltsanalyse. Die Untersuchung bezieht sich auf den Zeitraum 1990 bis 2004. (Autorenreferat, IAB-Doku)"Reporting about teachers and teaching during the last 15 years the magazines \u27Der Spiegel\u27 and \u27Focus\u27 delineate on the one hand a negative sweeping judgment of teachers themselves, their knowledge, skills and morale. On the other hand covering their teaching experience and skills innovative examples are increasingly placed into the foreground. " (author\u27s abstract, IAB-Doku

Phenomenological Study of Transformative Learning in Conversion to the Catholic Faith

This research explored the phenomenon of learning transformation as it arises in the context of conversion to Catholicism. The theory of transformative learning describes a process of learning and reflection, in which an individual's frame of reference or way of making meaning changes to become more justified in interpreting their life experiences. This research used a phenomenological design to study the essential experience of the transformative learning process in thirteen adults who entered the Roman Catholic Church through the Rite of Christian Initiation of Adults (RCIA), the process implemented in Catholic parishes around the globe to guide prospective converts. The participants shared their conversion experiences through a series of one-on-one interviews, which were then coded and analyzed for shared themes and understanding of the learning processes they experienced. The testimonies of these converts all described a transformative learning experience deeply embedded in their conversion process, showing that the theory is well-suited to describe the general movements of the participants' learning process. The participants' stories evidenced deep, broad, and enduring changes in the way they made meaning in their lives. Learning outcomes were identified across a range of domains including cognitive, experiential, spiritual, and social dimensions. Changes in self-knowing played a seminal role, serving as a cornerstone on which other outcomes were formed. Participants described deep, epistemic transformation in the ways they understood themselves, their place in the world, their moral responsibilities, and their spiritual needs. The analysis also explored the relationship between the learning transformation and engagement in the formal curriculum of their respective RCIA programs. While knowledge transfer played a role in all cases, its import was generally underemphasized by the testimonies of the participants. The programs were most influential when there was a clear impact on the perspective transformations of the converts. Sense of community, group discussion, opportunity for critical reflection, and the ability to connect the content to their new sense of self all play a fundamental role in deepening the transformative learning outcomes the of the converts, regardless of their current place in the process. These findings provide a justification for using transformative learning theory as a framework for understanding adult religious education. It also offers a foundation for measuring the efficacy and relationship between formal instruction and learning outcomes in the context of religious conversion

Design, implementation and usability analysis of patient empowerment in ADLIFE project via patient reported outcome measures and shared decision making

Introduction: This paper outlines the design, implementation, and usability study results of the patient empowerment process for chronic disease management, using Patient Reported Outcome Measurements and Shared Decision-Making Processes. Background: The ADLIFE project aims to develop innovative, digital health solutions to support personalized, integrated care for patients with severe long-term conditions such as Chronic Obstructive Pulmonary Disease, and/or Chronic Heart Failure. Successful long-term management of patients with chronic conditions requires active patient self-management and a proactive involvement of patients in their healthcare and treatment. This calls for a patient-provider partnership within an integrated system of collaborative care, supporting self-management, shared-decision making, collection of patient reported outcome measures, education, and follow-up. Methods: ADLIFE follows an outcome-based and patient-centered approach where PROMs represent an especially valuable tool to evaluate the outcomes of the care delivered. We have selected 11 standardized PROMs for evaluating the most recent patients’ clinical context, enabling the decision-making process, and personalized care planning. The ADLIFE project implements the "SHARE approach’ for enabling shared decision-making via two digital platforms for healthcare professionals and patients. We have successfully integrated PROMs and shared decision-making processes into our digital toolbox, based on an international interoperability standard, namely HL7 FHIR. A usability study was conducted with 3 clinical sites with 20 users in total to gather feedback and to subsequently prioritize updates to the ADLIFE toolbox. Results: User satisfaction is measured in the QUIS7 questionnaire on a 9-point scale in the following aspects: overall reaction, screen, terminology and tool feedback, learning, multimedia, training material and system capabilities. With all the average scores above 6 in all categories, most respondents have a positive reaction to the ADLIFE PEP platform and find it easy to use. We have identified shortcomings and have prioritized updates to the platform before clinical pilot studies are initiated. Conclusions: Having finalized design, implementation, and pre-deployment usability studies, and updated the tool based on further feedback, our patient empowerment mechanisms enabled via PROMs and shared decision-making processes are ready to be piloted in clinal settings. Clinical studies will be conducted based at six healthcare settings across Spain, UK, Germany, Denmark, and Israel

Design, implementation and usability analysis of patient empowerment in ADLIFE project via patient reported outcome measures and shared decision making

Introduction: This paper outlines the design, implementation, and usability study results of the patient empowerment process for chronic disease management, using Patient Reported Outcome Measurements and Shared Decision-Making Processes. Background: The ADLIFE project aims to develop innovative, digital health solutions to support personalized, integrated care for patients with severe long-term conditions such as Chronic Obstructive Pulmonary Disease, and/or Chronic Heart Failure. Successful long-term management of patients with chronic conditions requires active patient self-management and a proactive involvement of patients in their healthcare and treatment. This calls for a patient-provider partnership within an integrated system of collaborative care, supporting self-management, shared-decision making, collection of patient reported outcome measures, education, and follow-up. Methods: ADLIFE follows an outcome-based and patient-centered approach where PROMs represent an especially valuable tool to evaluate the outcomes of the care delivered. We have selected 11 standardized PROMs for evaluating the most recent patients’ clinical context, enabling the decision-making process, and personalized care planning. The ADLIFE project implements the "SHARE approach’ for enabling shared decision-making via two digital platforms for healthcare professionals and patients. We have successfully integrated PROMs and shared decision-making processes into our digital toolbox, based on an international interoperability standard, namely HL7 FHIR. A usability study was conducted with 3 clinical sites with 20 users in total to gather feedback and to subsequently prioritize updates to the ADLIFE toolbox. Results: User satisfaction is measured in the QUIS7 questionnaire on a 9-point scale in the following aspects: overall reaction, screen, terminology and tool feedback, learning, multimedia, training material and system capabilities. With all the average scores above 6 in all categories, most respondents have a positive reaction to the ADLIFE PEP platform and find it easy to use. We have identified shortcomings and have prioritized updates to the platform before clinical pilot studies are initiated. Conclusions: Having finalized design, implementation, and pre-deployment usability studies, and updated the tool based on further feedback, our patient empowerment mechanisms enabled via PROMs and shared decision-making processes are ready to be piloted in clinal settings. Clinical studies will be conducted based at six healthcare settings across Spain, UK, Germany, Denmark, and Israel

International cross-cultural development and field testing of the primary care practice questionnaire for the PaRIS survey (PaRIS-PCPQ)

This is the final version. Available from Springer Nature via the DOI in this record. Data availability. The data from the Field Trial cannot be shared by the authors, as they are owned by the participating countries. Furthermore, these data were collected exclusively for developing the PaRIS survey and its survey instruments; they cannot be used for substantive analysis as the data collection did not aim at providing valid and representative data for the countries and providers involved.BACKGROUND: The PaRIS survey, an initiative of the Organisation for Economic Co-operation and Development (OECD), aims to assess health systems performance in delivering primary care by measuring the care experiences and outcomes of people over 45 who used primary care services in the past six months. In addition, linked data from primary care practices are collected to analyse how the organisation of primary care practices and their care processes impact care experiences and outcomes. This article describes the development and validation of the primary care practice questionnaire for the PaRIS survey, the PaRIS-PCPQ. METHOD: The PaRIS-PCPQ was developed based on domains of primary care practice and professional characteristics included in the PaRIS conceptual framework. Questionnaire development was conducted in four phases: (1) a multi-step consensus-based development of the source questionnaire, (2) translation of the English source questionnaire into 17 languages, (3) cross-national cognitive testing with primary care professionals in participating countries, and (4) cross-national field-testing. RESULTS: 70 items were selected from 7 existing questionnaires on primary care characteristics, of which 49 were included in a first draft. Feedback from stakeholders resulted in a modified 34-item version (practice profile, care coordination, chronic care management, patient follow-up, and respondent characteristics) designed to be completed online by medical or non-medical staff working in a primary care practice. Cognitive testing led to changes in the source questionnaire as well as to country specific localisations. The resulting 32-item questionnaire was piloted in an online survey and field test. Data from 540 primary care practices from 17 countries were collected and analysed. Final revision resulted in a 34-item questionnaire. CONCLUSIONS: The cross-national development of a primary care practice questionnaire is challenging due to the differences in care delivery systems. Rigorous translation and cognitive testing as well as stakeholder engagement helped to overcome most challenges. The PaRIS-PCPQ will be used to assess how key characteristics of primary care practices relate to the care experiences and outcomes of people living with chronic conditions. As such, policymakers and care providers will be informed about the performance of primary care from the patient's perspective.Organisation for Economic Co-operation and DevelopmentEuropean CommissionProjekt DEA

Enabling patient adherence via personalised, just-in time adaptive interventions in ADLIFE architecture

Chronic diseases introduce challenges for the patients to continuously be involved in their care activities and manage the changing requirements of their disease. Patient empowerment activities are a critical component to assist patients in their long-term care journey. In the ADLIFE project (H2020, SC1-DTH-11-2019, 875209), an integrated care planning approach is used where patients are assigned various care plan activities by multidisciplinary care teams. To increase patients’ adherence to the care plan, a continuous behavioral monitoring architecture is developed for delivering digital personalised, just-in time adaptive interventions