25 research outputs found
Beyond the Horizon: The Future of Corporate Social Responsibility
As the Canadian corporate landscape continues to evolve, traditional models of corporate social
responsibility (CSR) are facing increasing scrutiny and calls for transformation. This paper
explores the necessity of rethinking these conventional approaches and embracing new
paradigms to ensure future preparedness in the corporate world. By shifting the focus from
solely measuring success based on profitability to encompassing a broader range of metrics,
including climate justice, human rights, and collective liberation, organizations can better
address the complex challenges of the modern era. Drawing on insights from literature review
and secondary research, this paper advocates for a comprehensive approach to CSR that
prioritizes the well-being of the planet, people, and purpose. Through this reimagining of CSR,
businesses can not only enhance their sustainability and resilience but also contribute to the
greater good of society and the environment
Systematic Review to Inform a World Health Organization (WHO) Clinical Practice Guideline: Benefits and Harms of Transcutaneous Electrical Nerve Stimulation (TENS) for Chronic Primary Low Back Pain in Adults
PURPOSE: To evaluate benefits and harms of transcutaneous electrical nerve stimulation (TENS) for chronic primary low back pain (CPLBP) in adults to inform a World Health Organization (WHO) standard clinical guideline.
METHODS: We searched for randomized controlled trials (RCTs) from various electronic databases from July 1, 2007 to March 9, 2022. Eligible RCTs targeted TENS compared to placebo/sham, usual care, no intervention, or interventions with isolated TENS effects (i.e., combined TENS with treatment B versus treatment B alone) in adults with CPLBP. We extracted outcomes requested by the WHO Guideline Development Group, appraised the risk of bias, conducted meta-analyses where appropriate, and graded the certainty of evidence using GRADE.
RESULTS: Seventeen RCTs (adults, n = 1027; adults ≥ 60 years, n = 28) out of 2010 records and 89 full text RCTs screened were included. The evidence suggested that TENS resulted in a marginal reduction in pain compared to sham (9 RCTs) in the immediate term (2 weeks) (mean difference (MD) = -0.90, 95% confidence interval -1.54 to -0.26), and a reduction in pain catastrophizing in the short term (3 months) with TENS versus no intervention or interventions with TENS specific effects (1 RCT) (MD = -11.20, 95% CI -17.88 to -3.52). For other outcomes, little or no difference was found between TENS and the comparison interventions. The certainty of the evidence for all outcomes was very low.
CONCLUSIONS: Based on very low certainty evidence, TENS resulted in brief and marginal reductions in pain (not deemed clinically important) and a short-term reduction in pain catastrophizing in adults with CPLBP, while little to no differences were found for other outcomes
Systematic Review to Inform a World Health Organization (WHO) Clinical Practice Guideline: Benefits and Harms of Structured and Standardized Education or Advice for Chronic Primary low back pain in Adults
PURPOSE: Evaluate benefits and harms of education/advice for chronic primary low back pain (CPLBP) in adults to inform a World Health Organization (WHO) standard clinical guideline.
METHODS: Electronic databases were searched for randomized controlled trials (RCTs) assessing education/advice compared with placebo/sham, usual care, or no intervention (including comparison interventions where the attributable effect of education/advice could be isolated). We conducted meta-analyses and graded the certainty of evidence.
RESULTS: We screened 2514 citations and 86 full text RCTs and included 15 RCTs. Most outcomes were assessed 3 to 6 months post-intervention. Compared with no intervention, education/advice improved pain (10 RCTs, MD = -1.1, 95% CI -1.63 to -0.56), function (10 RCTs, SMD = -0.51, 95% CI -0.89 to -0.12), physical health-related quality of life (HRQoL) (2 RCTs, MD = 24.27, 95% CI 12.93 to 35.61), fear avoidance (5 RCTs, SMD = -1.4, 95% CI -2.51 to -0.29), depression (1 RCT; MD = 2.10, 95% CI 1.05 to 3.15), and self-efficacy (1 RCT; MD = 4.4, 95% CI 2.77 to 6.03). Education/advice conferred less benefit than sham Kinesio taping for improving fear avoidance regarding physical activity (1 RCT, MD = 5.41, 95% CI 0.28 to 10.54). Compared with usual care, education/advice improved pain (1 RCT, MD = -2.10, 95% CI -3.13 to -1.07) and function (1 RCT, MD = -7.80, 95% CI -14.28 to -1.32). There was little or no difference between education/advice and comparisons for other outcomes. For all outcomes, the certainty of evidence was very low.
CONCLUSION: Education/advice in adults with CPLBP was associated with improvements in pain, function, HRQoL, and psychological outcomes, but with very low certainty
A Pilot Study of Abnormal Growth in Autism Spectrum Disorders and Other Childhood Psychiatric Disorders
The aims of the current study were to examine whether early growth abnormalities are (a) comparable in autism spectrum disorders (ASD) and other childhood psychiatric disorders, and (b) specific to the brain or generalized to the whole body. Head circumference, height, and weight were measured during the first 19 months of life in 129 children with ASD and 59 children with non-ASD psychiatric disorders. Both groups showed comparable abnormal patterns of growth compared to population norms, especially regarding height and head circumference in relation to height. Thus abnormal growth appears to be related to psychiatric disorders in general and is mainly expressed as an accelerated growth of height not matched by an increase in weight or head circumference
Intervention fidelity within interventions aimed at reducing non-indicated imaging for low back pain
Non-indicated imaging for low back pain (LBP) is unnecessary but remains common.
Interventions to reduce this behaviour must consider the impact of fidelity (i.e., degree to
which the intervention was delivered as intended) on trial results. The thesis examines
strategies used to enhance and assess intervention fidelity for interventions targeting nonindicated
imaging for LBP and explores perceived barriers and enablers to enhancing
fidelity of training and delivery to a proposed intervention for reducing non-indicated
imaging for LBP. Two studies, a systematic review and a qualitative interview study,
address these objectives. The systematic review, conducted using the PRISMA statement,
found few studies reported strategies to enhance/assess fidelity. When reported, mainly
enhancement strategies for fidelity to study design and intervention delivery were
identified. The interview study, analysed with the Theoretical Domains Framework,
found that logistical issues were a perceived barrier to attending training, while enablers
were incentives and flexibility in training. Time, patient pressures, and habit were
perceived barriers to intervention delivery, while enablers included enhancement
strategies related to reminders and support. Findings from this thesis contribute to the
development of an intervention fidelity protocol when designing an intervention to reduce
non-indicated imaging for LBP in Newfoundland and Labrador, Canada
Do European media ignore female politicians? A comparative analysis of MP visibility
Media attention is an invaluable electoral asset, and structurally less media attention given to female candidates and politicians could be detrimental to women’s representation. While research has found equal amounts of coverage devoted to male and female politicians in the US and Canada, a gender gap persists in European countries. This article examines whether differences in the political position and background of men and women account for this gender gap. A computer-assisted content analysis of national dailies in six European countries during one full legislative cycle is combined with extensive background information of 3039 MPs. The results confirm that even after controlling extensively for individual differences, female parliamentarians in Europe are less visible in the news than their male counterparts. Supplemental data for this article can be accessed online at: https://doi.org/10.1080/01402382.2021.1988387
Replication Data for: Looks Like a Leader: Measuring Evolution in Gendered Politician Stereotypes
Previous research showed that the stereotype of women politicians is incongruent with the general politician stereotype, which can be disadvantageous for women seeking political office. Based on the strong influx of women politicians in US politics, and the increased familiarity of the electorate with women in political leadership positions, we expect that voters now have a clearer picture of women politicians and that their stereotype is more congruent with the traits desired in political leaders. In testing this, we make a methodological contribution to the study of stereotyping by adapting a large-N list experiment as an effective and innovative measurement of stereotype endorsement. The results show important changes in gendered political stereotypes over the last ten years. The evolution of the women politician stereotype is encouraging: the traits that people associate with women politicians are more positive than ten years ago and more congruent to desirable traits for politicians. However, the findings also underscore the continuing masculinity of the political domain, by the strong overlap between the stereotype of men politicians and politicians in general. Even more pronounced than the positive trend for women politicians is the unfavorable evolution of the stereotypes of men politicians and politicians generally, which shows a strong downfall compared to a decade ago