47 research outputs found
Identification of the factors associated with outcomes in a condition management programme
<p>Background: A requirement of the Government’s Pathways to Work (PtW) agenda was to introduce a Condition Management Programme (CMP). The aim of the present study was to identify the differences between those who engaged and made progress in this telephone-based biopsychosocial intervention, in terms of their health, and those who did not and to determine the client and practitioner characteristics and programme elements associated with success in a programme aimed at improving health.</p>
<p>Methods: Data were obtained from the CMP electronic spreadsheets and clients paper-based case records. CMP
standard practice was that questionnaires were administered during the pre- and post-assessment phases over the
telephone. Each client’s record contains their socio-demographic data, their primary health condition, as well as the pre- and post-intervention scores of the health assessment tool administered. Univariate and multivariate statistical analysis was used to investigate the relationships between the database variables. Clients were included in the study if their records were available for analysis from July 2006 to December 2007.</p>
<p> Results: On average there were 112 referrals per month, totalling 2016 referrals during the evaluation period. The
majority (62.8%) of clients had a mental-health condition. Successful completion of the programme was 28.5% (575
“completers”; 144 “discharges”). Several factors, such as age, health condition, mode of contact, and practitioner
characteristics, were significant determinants of participation and completion of the programme. The results
showed that completion of the CMP was associated with a better mental-health status, by reducing the number of
clients that were either anxious, depressed or both, before undertaking the programme, from 74% to 32.5%.</p>
<p>Conclusions: Our findings showed that an individual's characteristics are associated with success in the
programme, defined as completing the intervention and demonstrating an improved health status. This study
provides some evidence that the systematic evaluation of such programmes and interventions could identify ways
in which they could be improved.</p>
Overtime work as a predictor of major depressive episode: a 5-year follow-up of the Whitehall II study.
The association between overtime work and depression is still unclear. This study examined the association between overtime work and the onset of a major depressive episode (MDE)
Macrosocial determinants of population health in the context of globalization
Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/55738/1/florey_globalization_2007.pd
Statistical means to enhance the comparability of data within a pooled analysis of individual data in neurobehavioral toxicology
19reservedmixedMeyer-Baron M; Schäper M; Knapp G; Lucchini R; Albini E; Bast-Pettersen R; He S; Yuan H; Niu Q; Wang XL; Yang YJ; Iregren A; Sjögren B; Blond M; Laursen P; Netterstrom B; Mergler D; Bowler R; van Thriel CMeyer Baron, M; Schäper, M; Knapp, G; Lucchini, Roberto; Albini, Elisa; Bast Pettersen, R; He, S; Yuan, H; Niu, Q; Wang, Xl; Yang, Yj; Iregren, A; Sjögren, B; Blond, M; Laursen, P; Netterstrom, B; Mergler, D; Bowler, R; van Thriel, C