6,141 research outputs found
Dictionary of Midwestern Literature, volume 2, Dimensions of the Midwestern Literary Imagination
Review of: Dictionary of Midwestern Literature, volume 2, Dimensions of the Midwestern Literary Imagination, general editor Philip A. Greasle
Prairie Visions: Writings by Hamlin Garland
Review of: "Prairie Visions: Writings by Hamlin Garland," by Keith Newlin; photographs by Jon Morris
What works for whom and in which circumstances? : a realist evaluation of a complex intervention for pregnant women with obesity
University of Technology Sydney. Faculty of Health.[Background]
Maternal obesity (BMI≥30kg/m²) is a global public health concern, impacting negatively on the health of women and their babies. Women who are obese are more likely than women of normal weight (BMI<25kg/m²) to gain excessive weight during pregnancy, increasing their risk of adverse outcomes. Evidence supports the view that gestational weight gain can be influenced through lifestyle intervention, but few antenatal services with this specific aim exist in Australia. This study describes a realist evaluation of a complex healthcare intervention designed to support obese women to achieve a healthy weight gain during pregnancy.
[Setting]
The intervention was introduced simultaneously in 2 locations in Sydney, Australia and these provided comparative case studies for the evaluation. Antenatal care was provided in a group setting, and focussed on supporting obese pregnant women to achieve a ‘healthy’ gestational weight during pregnancy, according to the Institute of Medicine gestational weight gain guidelines.
[Design]
A theory-driven evaluation approach, employing the realist evaluation framework, was used to develop theory around what worked for whom and in which circumstances, for clinicians, managers and women who participated in the intervention. The intervention strategies were supported by initial theory (self-efficacy), described by Context-Mechanism-Outcome (CMO) configurations. These configurations were examined and refined during analysis, enabling the development of middle range theory.
[Methods]
A mixed method approach was utilised, employing both quantitative and qualitative data. The analysis involved a two-phase sequential process; comparative analysis followed by thematic analysis.
[Findings]
The findings highlighted that context has a strong influence on outcomes, and that unseen mechanisms can act as both barriers and enablers. Self-efficacy does play an important part in predicting positive gestational weight gain behaviour, for both clinicians and obese pregnant women. However, the refined theory underpinning the intervention was more complex than originally hypothesised. A theoretical model was developed to describe the interplay between intention, ability and opportunity in predicting individuals’ response to the intervention and the possibility of change. The Theory of Planned Behaviour and Social Learning Theory are the middle range theories underpinning this model.
[Implications for practice]
Group antenatal care designed to support women to achieve a healthy gestational weight gain has not previously been identified as an intervention to address the risks presented by maternal obesity. The theoretical model developed through the process of realist evaluation highlights key features that would enable a similar intervention to ‘work’ in an alternative setting
Creating Colorado: the Making of a Western American Landscape, 1860-1940
Review of: Creating Colorado: The Making of a Western American Landscape, 1860-1940. Wyckoff, William
The Life of Mark Twain: The Early Years, 1835-1871
Review of: The Life of Mark Twain: The Early Years, 1835–1871, by Gary Scharnhorst
Review of \u3ci\u3eRevolt of the Provinces: The Regionalist Movement in America, 1920-1945\u3c/i\u3e By Robert L. Dorman
Since its brief flowering in the third and fourth decades of this century, regionalism has been generally dismissed as insignificant by students of American culture. While the U.S. intellectual mainstream rushed off toward both modernism and the movies, regionalists remained determined denizens of their various backwaters. Painter Thomas Hart Benton\u27s rejection of New York abstraction for heartland folk murals in Missouri is both well known and emblematic. In his book, Revolt of the Provinces, Robert Dorman has reopened the subject of regionalism in thought-provoking fashion. Dorman claims for regionalism a wider significance than has been granted by many critics. He argues that the motley group of artists, writers, academics, city planners, and other intellectuals loosely unified under the rubric of regionalism were, in fact, cultural radicals who sought to produce a new, integrated American culture and society. Facing the vulgarities of mass culture and industrial society, regionalists relied on sense of place as an antidote, grounding themselves firmly in the local particularities of American earth. From this vantage point they celebrated the comforts of place, the lived environment as a unique historical, cultural, and physical entity, and as a key to a fully human life (p. 23)
From Warm Center to Ragged Edge: The Erosion of Midwestern Literary and Historical Regionalism, 1920–1965
Review of: From Warm Center to Ragged Edge: The Erosion of Midwestern Literary and Historical Regionalism, 1920–1965, by Jon K. Lauck
Review of \u3ci\u3eRevolt of the Provinces: The Regionalist Movement in America, 1920-1945\u3c/i\u3e By Robert L. Dorman
Since its brief flowering in the third and fourth decades of this century, regionalism has been generally dismissed as insignificant by students of American culture. While the U.S. intellectual mainstream rushed off toward both modernism and the movies, regionalists remained determined denizens of their various backwaters. Painter Thomas Hart Benton\u27s rejection of New York abstraction for heartland folk murals in Missouri is both well known and emblematic. In his book, Revolt of the Provinces, Robert Dorman has reopened the subject of regionalism in thought-provoking fashion. Dorman claims for regionalism a wider significance than has been granted by many critics. He argues that the motley group of artists, writers, academics, city planners, and other intellectuals loosely unified under the rubric of regionalism were, in fact, cultural radicals who sought to produce a new, integrated American culture and society. Facing the vulgarities of mass culture and industrial society, regionalists relied on sense of place as an antidote, grounding themselves firmly in the local particularities of American earth. From this vantage point they celebrated the comforts of place, the lived environment as a unique historical, cultural, and physical entity, and as a key to a fully human life (p. 23)
Print the Legend: Photography and the American West
Review of: Print the Legend: Photography and the American West. Sandweiss, Martha A
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