16 research outputs found

    Phylogeography of Rattus norvegicus in the South Atlantic Ocean

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    Acknowledgments Funding for sample collection was provided by the Shackleton Scholarship Fund, Antarctic Research Trust, the Wyoming Biodiversity Institute, PVE/CAPES (Proposal 235453) and Fundação para a Ciência e a Tecnologia (SFRH/BPD/88854/2012). Thanks to Martin Collins, Andy Black, Darren Christie and the Government of South Georgia and South Sandwich Islands for the provision of samples from South Georgia, Annalea Beard for providing the rat sample from St Helena Island, Joaquim Tapisso, Rita Monarca and Ana Cerveira for samples from Portugal, and Emily Puckett for help validating South American SNP haplotypes. Funding for DNA sequencing was provided by Island LandCare, the University of Auckland. Thanks to two anonymous reviewers for the constructive comments.Peer reviewedPublisher PD

    Practice change in chronic conditions care: an appraisal of theories

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    Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.Background Management of chronic conditions can be complex and burdensome for patients and complex and costly for health systems. Outcomes could be improved and costs reduced if proven clinical interventions were better implemented, but the complexity of chronic care services appears to make clinical change particularly challenging. Explicit use of theories may improve the success of clinical change in this area of care provision. Whilst theories to support implementation of practice change are apparent in the broad healthcare arena, the most applicable theories for the complexities of practice change in chronic care have not yet been identified. Methods We developed criteria to review the usefulness of change implementation theories for informing chronic care management and applied them to an existing list of theories used more widely in healthcare. Results Criteria related to the following characteristics of chronic care: breadth of the field; multi-disciplinarity; micro, meso and macro program levels; need for field-specific research on implementation requirements; and need for measurement. Six theories met the criteria to the greatest extent: the Consolidate Framework for Implementation Research; Normalization Process Theory and its extension General Theory of Implementation; two versions of the Promoting Action on Research Implementation in Health Services framework and Sticky Knowledge. None fully met all criteria. Involvement of several care provision organizations and groups, involvement of patients and carers, and policy level change are not well covered by most theories. However, adaptation may be possible to include multiple groups including patients and carers, and separate theories may be needed on policy change. Ways of qualitatively assessing theory constructs are available but quantitative measures are currently partial and under development for all theories. Conclusions Theoretical bases are available to structure clinical change research in chronic condition care. Theories will however need to be adapted and supplemented to account for the particular features of care in this field, particularly in relation to involvement of multiple organizations and groups, including patients, and in relation to policy influence. Quantitative measurement of theory constructs may present difficulties

    Cultural adaptation and implementation of evidence-based parent training: A systematic review and critique of guiding evidence

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    With advances in knowledge regarding efficacious evidence-based interventions, there have been significant attempts to culturally adapt, implement, and disseminate parent training interventions broadly, especially across ethnic and cultural groups. We sought to examine the extent to which researchers and developers of evidence-based parent training programs have used cultural adaptation models, tested implementation strategies, and evaluated implementation outcomes when integrating the interventions into routine care by conducting a systematic review of the literature for four evidence-based parent training interventions: Parent-Child Interaction Therapy (PCIT), The Incredible Years (IY), Parent Management Training-Oregon Model (PMTO™), and the Positive Parenting Program (Triple P). A total of 610 articles across the four programs were identified. Of those, only eight documented a rigorous cultural adaptation process, and only two sought to test the effectiveness of implementation strategies by using rigorous research designs. Our findings suggest that there is much work to be done to move parent-training intervention research towards a more rigorous examination of cultural adaptation and implementation practices

    Social Correlates of Church Attendance in Three European Catholic Countries

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    The sociology of religion literature recognizes secularization as an uneven process complicated by individual and country-level variables. However, considerably less attention has been given to how correlates of church attendance vary across divergent settings within a single religious denomination. Employing recent data from Belgium, Ireland, and Slovenia, we test whether the belief, ideological support for the church, and religious commitment correlates of religious behaviour are similar across these Catholic countries and whether there are any remaining country effects influencing church attendance. The results of ordered logit regression models show, on the one hand, the correlates of church attendance are basically the same across the three countries and, on the other, that country effects remain even when controlling for the key explanatory variables and other covariates. These empirical findings suggest the need to develop a more contextual-based understandings of secularization, focusing on the influence of cultural factors operative in nationally-specific settings
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