12 research outputs found

    Implementing diversity employment policies: examples from large London companies

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    This research aims to shed more light on the arguments for diversity from a business point of view, and to look more closely at the implementation of diversity policies, in order to identify which elements enable the development of diversity as well as what obstacles may arise. This report is based on research in four large London-based companies that can be regarded as illustrations of various ‘stages’ in the implementation of diversity policies and practices: the Telecommunications Company has an established diversity strategy and implementation; the Property Services Company only relatively recently began the journey to increasing diversity. The Financial Services and the Professional Services Companies have – as they all do – their successes and their areas in need of attention

    Association Between Clinician-Level Factors and Patient Outcomes in Virtual and In-Person Outpatient Treatment for Substance Use Disorders: Multilevel Analysis

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    BackgroundThe use of virtual treatment services increased dramatically during the COVID-19 pandemic. Unfortunately, large-scale research on virtual treatment for substance use disorder (SUD), including factors that may influence outcomes, has not advanced with the rapidly changing landscape. ObjectiveThis study aims to evaluate the link between clinician-level factors and patient outcomes in populations receiving virtual and in-person intensive outpatient services. MethodsData came from patients (n=1410) treated in a virtual intensive outpatient program (VIOP) and an in-person intensive outpatient program (IOP), who were discharged between January 2020 and March 2021 from a national treatment organization. Patient data were nested by treatment providers (n=58) examining associations with no-shows and discharge with staff approval. Empathy, comfort with technology, perceived stress, resistance to change, and demographic covariates were examined at the clinician level. ResultsThe VIOP (β=–5.71; P=.03) and the personal distress subscale measure (β=–6.31; P=.003) were negatively associated with the percentage of no-shows. The VIOP was positively associated with discharges with staff approval (odds ratio [OR] 2.38, 95% CI 1.50-3.76). Clinician scores on perspective taking (β=–9.22; P=.02), personal distress (β=–9.44; P=.02), and male clinician gender (β=–6.43; P=.04) were negatively associated with in-person no-shows. Patient load was positively associated with discharge with staff approval (OR 1.04, 95% CI 1.02-1.06). ConclusionsOverall, patients in the VIOP had fewer no-shows and a higher rate of successful discharge. Few clinician-level characteristics were significantly associated with patient outcomes. Further research is necessary to understand the relationships among factors such as clinician gender, patient load, personal distress, and patient retention

    The effectiveness of home-based dynamic balance exercise training through telerehabilitationin improving the ankle’s stability and functional ability of sedentary individuals with chronic ankle sprain – a randomized controlled trial

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    Many literature have supported that dynamic balance exercise is effective among active individuals with chronic ankle instability. However, there is a paucity of evidence whether it is effective among sedentary individuals with chronic ankle instability. This study is a randomized controlled clinical trial and the participants were 15 sedentary individuals with CAI who were randomly assigned to either experimental or control group. The intervention consisted of a four (4) week home-based balance training program through telerehabilitation, thrice a week, 60 minutes each day. Both groups performed specific dynamic balance exercises consisted of: (1) single-limb hops to stabilization; (2) hop to stabilization reach; (3) unanticipated hop to stabilization; and (4) single-limb activities with eyes closed and open. However, a modification which is a handheld support, was used by the control group to remove the therapeutic effect of the exercise. Essentially, the primary outcomes obtained were the ankle stability and functional ability of the participants. In the within-group scores, results show that both groups have significant differences between pre-test and post-test in terms of ankle stability and functional ability with a p-value of \u3c0.05. Moreover, results in between-group differences show that there was significant difference between the two groups as to functional ability, but not in terms of ankle stability which resulted in a p-value of \u3e0.05. The occurrence of having no significant difference as to ankle stability may be due to inaccuracy of measurements since this was done merely by the participants using the outcome measure SEBT as compared to the functional ability wherein FAAM is a patient-assessed tool. Also, a short duration of four (4) weeks might not be enough as to improving ankle stability. In conclusion, dynamic balance exercises were effective in improving the functional ability of sedentary individuals with CAI but not their ankle stability
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