Rural Superintendents’ Experiences with Empowerment and Alignment to Vision in the Application of Principle-Centered Leadership

This qualitative phenomenological narrative inquiry research study used narrative inquiry to investigate rural superintendents’ experiences with the application of principle-centered leadership in their districts. Ten superintendents from rural districts in east Texas were interviewed. Narratives were analyzed by organizing, describing, classifying, and interpreting data collected from the interviews. The study results support the notion that the application of principle-centered leadership helps superintendents to become effective leaders in their districts. Other findings from this study include the notion that effective superintendents practice the tenets of principle-centered leadership with different actions and methods based on their beliefs and personalities. Findings also emphasized that trustworthiness and trust is the foundation of principle-centered leadership, which allows for empowerment and alignment to vision. This study provides superintendents and other educational leaders with practices critical to practicing principle-centered leadership in order to become more effective leaders in their districts

Out of the Black Patch

Effie Marquess Carmack (1885-1974) grew up in the tobacco-growing region of southern Kentucky known as the Black Patch. As an adult she moved to Utah, back to Kentucky, to Arizona, and finally to California. Economic necessity primarily motivated Effie and her husband\u27s moves, but her conversion to the Mormon Church in youth also was a factor. Throughout her life, she was committed to preserving the rural, southern folkways she had experienced as a child. She and other members of her family were folk musicians, at times professionally, and she also became a folk poet and artist, teaching herself to paint. In the 1940s she began writing her autobiography and eventually also completed a verse adaptation of it and an unpublished novel about life in the Black Patch. Much of Effie\u27s story is a charming memoir of her vibrant childhood on a poor tobacco farm. She describes a wide variety of folk practices, from healing and crafts to children\u27s games. Her family\u27s life included the backbreaking labor and economic trials of raising tobacco, but it was enriched by a deep familial heritage, communal music, creative play, and traditional activities of many kinds. After the family converted to the Mormon Church, religious study and devotion became another important dimension. Effie\u27s account of Mormon missions contributes to the little-known record of Latter-day Saint attempts to establish a presence in the South. After marrying, the Carmacks moved west, eventually landing in the Arizona desert, where Effie took up painting in earnest. Her art began to attract modest attention, which brought exhibits, awards, and a new career teaching others what she had taught herself. After the Carmacks later retired to Atascadero, California, Effie became a more active and public folk singer as well.https://digitalcommons.usu.edu/usupress_pubs/1093/thumbnail.jp

Theory and the breadth-and-depth method of analysing large amounts of qualitative data:A research note

This research note builds on a previously published discussion of the ‘breadth-and-depth’ method for working with extensive amounts of secondary qualitative data, to consider the way that theory can be used and developed as part of this method. We illustrate potential deductive, inductive, and abductive logics of the relationship between theory and data that can be pursued using the method, but note that in reality research analysis rarely proceeds along such clear categorical lines. Rather, qualitative researchers are more likely to pursue an approach akin to a retroductive logic and analytic practice, which the breadth-and-depth method also can accommodate

Randomised, double-blind, placebo-controlled trials of non-individualised homeopathic treatment: systematic review and meta-analysis

Background: A rigorous systematic review and meta-analysis focused on randomised controlled trials (RCTs) of non-individualised homeopathic treatment has not previously been reported. We tested the null hypothesis that the main outcome of treatment using a non-individualised (standardised) homeopathic medicine is indistinguishable from that of placebo. An additional aim was to quantify any condition-specific effects of non-individualised homeopathic treatment. Methods: Literature search strategy, data extraction and statistical analysis all followed the methods described in a pre-published protocol. A trial comprised ‘reliable evidence’ if its risk of bias was low or it was unclear in one specified domain of assessment. ‘Effect size’ was reported as standardised mean difference (SMD), with arithmetic transformation for dichotomous data carried out as required; a negative SMD indicated an effect favouring homeopathy. Results: Forty-eight different clinical conditions were represented in 75 eligible RCTs. Forty-nine trials were classed as ‘high risk of bias’ and 23 as ‘uncertain risk of bias’; the remaining three, clinically heterogeneous, trials displayed sufficiently low risk of bias to be designated reliable evidence. Fifty-four trials had extractable data: pooled SMD was –0.33 (95% confidence interval (CI) –0.44, –0.21), which was attenuated to –0.16 (95% CI –0.31, –0.02) after adjustment for publication bias. The three trials with reliable evidence yielded a non-significant pooled SMD: –0.18 (95% CI –0.46, 0.09). There was no single clinical condition for which meta-analysis included reliable evidence. Conclusions: The quality of the body of evidence is low. A meta-analysis of all extractable data leads to rejection of our null hypothesis, but analysis of a small sub-group of reliable evidence does not support that rejection. Reliable evidence is lacking in condition-specific meta-analyses, precluding relevant conclusions. Better designed and more rigorous RCTs are needed in order to develop an evidence base that can decisively provide reliable effect estimates of non-individualised homeopathic treatment

Treating persistent depressive symptoms in post-ACS patients: The project COPES phase-I randomized controlled trial

Depression and sub-syndromal depressive symptoms are important predictors of morbidity and mortality after acute coronary syndrome (ACS). Prior trials of depression treatment in post-ACS patients have demonstrated no improvement for event-free survival, and only modest improvement in depression symptoms. These trials have raised a number of important issues regarding timing of depression intervention, acceptability of depression treatment to ACS patients, and safety for subsets of the treated population. This article describes Project COPES (Coronary Psychosocial Evaluation Studies), a multi-center Phase-I randomized clinical trial. Project COPES uses a patient preference depression treatment that has previously been found acceptable to medical patients, and a 3-month pre-randomization observation period to insure depression status. The study sample will include 200 post-ACS patients. The primary outcome is patient satisfaction with depression care. Secondary, exploratory aims include the acceptability of depression treatment, reduction in depressive symptoms, and the effects of treatment on two key pathways – medication adherence and inflammation – hypothesized to link depression to post-ACS prognosis. These analyses will provide important data to inform subsequent clinical trials with this population

A feasibility study of behavioural activation for depressive symptoms in adults with intellectual disabilities

Background: Important work has been carried out adapting cognitive behavioural therapy for people with intellectual disabilities. However, there is a lack of alternative psychological therapies available for people with intellectual disabilities and emotional difficulties. Behavioural activation for depression is less reliant on verbal communication and focuses on increasing purposeful activity and reducing avoidance. Method: This feasibility study involved the development and piloting of an adapted manual of behavioural activation for people with intellectual disabilities. The intervention consisted of 10–12 sessions and a key adaptation was that the therapist worked with the clients alongside a significant other in their life, either a paid carer or family member. Baseline, post-intervention (3 months after entering the study) and 6-month quantitative follow-up data were obtained. Primary outcome data were gathered, concerning depressive symptoms, participants' levels of activity and general well-being. Results: Twenty-three adults with intellectual disabilities with symptoms of depression were recruited from specialist health services. In terms of acceptability, the behavioural activation intervention was well received and only two individuals dropped out, with a further two lost to follow-up. The main measures of depression appeared to be sensitive to change. Pre- to post-intervention data showed a significant reduction in self-report of depressive symptoms with a strong effect size (r = 0.78), that was maintained at follow-up (r = 0.86). Positive change was also obtained for informant reports of depressive symptoms from pre- to post-intervention, with a strong effect size (r = 0.7). Once again, this positive change was maintained at follow-up (r = 0.72). Conclusions: The study suggested that behavioural activation may be a feasible and worthwhile approach to tackling depression in people with intellectual disabilities. However, a randomised controlled trial would be required to establish its effectiveness, with more sensitive measurement of change in activity

Implementing Team-Based Nursing to Improve Patient & Staff Satisfaction

https://digitalcommons.psjhealth.org/summit_all/1068/thumbnail.jp

Oral hygiene effects verbal and nonverbal displays of confidence

Although oral hygiene is known to impact self-confidence and self-esteem, little is known about how it influences our interpersonal behavior. Using a wearable, multi-sensor device, we examined differences in consumers’ individual and interpersonal confidence after they had or had not brushed their teeth. Students (N = 140) completed nine one-to-one, 3-minute “speed dating” interactions while wearing a device that records verbal, nonverbal, and mimicry behavior. Half of the participants brushed their teeth using Close-Up toothpaste (Unilever) prior to the interactions, whilst the other half abstained from brushing that morning. Compared to those who had not brushed their teeth, participants who had brushed were more verbally confident (i.e., spoke louder, over-talked more), showed less nonverbal nervousness (i.e., fidgeted less), and were more often perceived as being “someone similar to me.” These effects were moderated by attractiveness but not by self-esteem or self-monitoring

Analysing large volumes of complex qualitative data:Reflections from a group of international experts

This working paper brings together the reflections of a wide range of international researchers to explore, showcase and reflect critically on the potentials and challenges of analysing large volumes of complex qualitative, and qualitative longitudinal (QLR) data, including archived material. Big Qual analysis is a new area for qualitative work and there is little guidance on how best to work with masses of qualitative material. The working paper comprises a set of blogs housed in the ‘Big Qual Analysis Resource Hub’ (http://bigqlr.ncrm.ac.uk/). We created this website to map the progress of our ESRC National Centre for Research Methods research project ‘Working across qualitative longitudinal studies: a feasibility study looking at care and intimacy’ (2015-2019). As part of the project we developed procedures for working with multiple sets of in-depth temporal qualitative data (see Davidson et al. 2019; Edwards et al. 2019 for discussion of our methodological findings). We have gathered together and made available the 27 blog post reflections from 32 authors in this working paper form because accounts of data management and analysis in qualitative research are often sanitised by the time they reach academic journals. Here, our contributors document and share publicly the trials and tribulations, intellectual commitments, contingencies and decision-making processes underlying such analysis, contributing to debates around good practice. We hope that this collection of reflections will promote further conversations about analysis/secondary analysis across large scale and/or multiple qualitative data sets. With guest posts from international scholars, from early career through to established researchers, on topics as varied as the ethics of using Big Qual data, using secondary qualitative material and computer-assisted qualitative data analysis software, this collection of reflections profiles the diversity of work taking place internationally