Case Managers’ Perceptions of Effective Interventions

Case managers (CM) identify patients with high emergency department (ED) utilization and barriers to healthcare services. CM interventions need to be evaluated related to high ED utilization, identification of effective interventions, and improving patients’ self-management skills. Current literature supports the review and implementation of identified CM interventions to reduce non-emergent ED utilization, and improved patients’ health literacy, and self-management abilities. There is a lack in research related to CM perceptions’ of effective interventions to reduce ED utilization. The purpose of this study was to examine CM perceptions’ of patients’ low health literacy and self-management skills, identify barriers to self-care, and identify CM interventions to reduce ED utilization. This descriptive quantitative study design utilized the Preventive Medicine Attitudes and Activities Questionnaire (PMAAQ) survey tool to examine CM perceptions’ of effective interventions on a series of patient health promotion activities. Sample size was 31 CMs from ambulatory and inpatient CM departments. Participants’ responses reflected a lack of impact on changing patients’ lifestyle behaviors and improving patients’ self-management skills. Majority (49%) of the participants’ rated the patients’ lack appropriate understanding when utilizing health services, low health literacy, and lack understanding the importance of health promotion as very significant barriers. CMs identified time and patients’ lack of understanding when utilizing health care services as the greatest barrier to assisting patients. CM interventions need to be examined in regard to identified barriers to care. Healthcare systems should promote more patient education on the appropriate utilization of services

The Value of Metas in Social Deduction Games

Metas are patterns that arise from playing a game multiple times. Metas may form if players have each played a given game previously or if the same group of individuals plays a particular game together multiple times. Social deduction games, a class of tabletop games in which players try to deceive each other, easily lend themselves to the construction of metas over time. This thesis focuses on the metas of social deduction games, using anecdotes from individuals in the UVM Games Club to analyze different elements of metas and assess the extent to which meta formation is beneficial or harmful to the gameplay experience. This project aims to contribute to the growing field of the Philosophy of Games, which has yet to fully discuss metas as a concept

From Observers to Participants: Joining the Scientific Community

In this essay, we have integrated the voices of our mentors and students to explore 45 years of undergraduate research experiences and their role in shaping our scientific community. In considering our collective experiences, we see undergraduate involvement in research as a rich source of community development, one that has both touched our lives and influenced our teaching

An evaluation of the impact of a burn camp on children and young people’s concerns about social situations, satisfaction with appearance and behaviour

Introduction: This evaluation aimed to assess the impact of a burn camp on children and young people’s concerns about social situations, satisfaction with appearance and behaviour.Methods: Young people completed the Perceived Stigmatisation Questionnaire (PSQ), Social Comfort Questionnaire (SCQ) and Satisfaction with Appearance Scale (SWAP) one month before camp (n=23), on the last day of camp (n=21) and at a three-month follow-up (n=13). Parents completed the Strengths and Difficulties Questionnaire (SDQ) one month before camp (n = 22) and at follow-up (n=12). Parents and young people also completed open-ended questions before camp and at the follow-up.Results: Results in this evaluation were mixed. While parents’ reported scores on the SDQ were poorer after camp, young people’s reported outcomes on all three measures improved at the end of camp. PSQ and SWAP scores were maintained and improved, respectively, at the follow-up. Qualitative responses were generally consistent with these scores. Significant improvements were found between the scores before camp and at the three-month follow-up for both the SWAP and PSQ. These results indicate that the burncamp may help to improve young people’s satisfaction with their appearance and concerns about social situations. However, there was no comparison group and there was a significant loss of participants atfollow-up.Conclusion: Burn camps may therefore offer a range of psychosocial benefits to young people with burn injuries. This was the first evaluation to demonstrate a positive impact of a burn camp on satisfaction with appearance and concerns about social situations using outcome measures validated with the burns population

The Role of Place Attachment and Situated Sustainability Meaning-Making in Enhancing Student Civic-Mindedness: A Campus Farm Example

This research explores the role that place attachment and place meaning towards an urban farm play in predicting undergraduate students’ civic-mindedness, an important factor in sustainability and social change. In 2017 and 2018, three STEM courses at a private university in the Midwest incorporated a local urban farm as a physical and conceptual context for teaching course content and sustainability concepts. Each course included a four to six-week long place-based experiential learning (PBEL) module aimed at enhancing undergraduate STEM student learning outcomes, particularly place attachment, situated sustainability meaning-making (SSMM), and civic-mindedness. End-of-course place attachment, SSMM, and civic-mindedness survey data were collected from students involved in these courses and combined with institutionally provided demographic information. Place attachment and SSMM surveys, along with the course in which the students participated, were statistically significant predictors of students’ civic-mindedness score

Probing the Communication World of Social Media Influencers and Their Avid Followers: A Two-Paper Panel

Paper presented to the Ohio Communication Association, October 202

Behavioural physical activity interventions in participants with lower-limb osteoarthritis: a systematic review with meta-analysis

Objective: To assess effectiveness of osteoarthritis interventions to promote long-term physical activity behaviour change.Design: A systematic review and meta-analysis. Protocol registration PROSPERO CRD4201300444 5 (http://www.crd.york.ac.uk/prospero/).Study selection: Randomised controlled trials (RCTs) comparing physical activity interventions with placebo, no/or minimal intervention in community-dwelling adults with symptomatic knee or hip osteoarthritis. Primary outcomes were change in physical activity or cardiopulmonary fitness after a minimum follow-up of 6 months.Data extraction: Outcomes were measures of physical activity (self-reported and objectively measured) and cardiovascular fitness. Standard mean differences between postintervention values were used to describe the effect sizes.Results: 27 984 titles were screened and 180 papers reviewed in full. Eleven RCTs satisfied inclusion criteria, total study population of 2741 participants, mean age 62.2. The commonest reasons for study exclusion were follow-up less than 6 months and no physical activity measures. The majority of included interventions implement an arthritis self-management programme targeting coping skills and self-efficacy. Seven studies used self-report measures, the pooled effect of these studies was small with significant heterogeneity between studies (SMD 0.22 with 95% CI −0.11 to 0.56, z=1.30 (p=0.19) I2 statistic of 85%). Subgroup analysis of 6–12 month outcome reduced heterogeneity and increased intervention effect compared to control (SMD 0.53, 95% CI 0.41 to 0.65, z=8.84 (

Classifying Outcome Measures According to the International Classification of Functioning, Disability and Health: a Pilot Study.

at which level of the World Health Organisation International Classification of Functioning, Disability and Health (WHO ICF) (WHO 2001) a selection of low back pain outcome tools measure. The ICF describes several categories of impact, those on body systems, activity, participation in life roles as well as environmental and personal factors. These categories can be used to relate an outcome measure to the level of the intervention. The results of a study may be compromisedif the outcome measure does not correspond to the level of intervention. For example, a treatment designed to reduce pain should be measured by a tool that measures at a body systems level while an intervention designed to improve return to work needs to measure at the participation level. In order to conduct a trial examining the effects of rehabilitation strategies after lumbar surgery it has been necessary to examine the qualities of commonly used low back pain outcome measures in light of the ICF. Confusion exists as to whether the entities of activity and participation are separate (Dahl 2002). Several attempts have been made to distinguish between the two but as yet, no consensus exists (Granlund2004). It was therefore necessary to define activity and participation and to validate this with a group of qualified health practitioners. J Williamson, C Bulley, F. Coutts, F. MacMillansch_phypub913pu

Understanding the experiences of Black women medical students and residents: A narrative review.

Few research studies examine medical students and residents with intersectional identities. In the emerging literature, data on Black women’s experiences may be misrepresented and misinterpreted as studies aggregate data for women, students of color, and Black/African American men. As such, these studies do not account for the nuanced experiences of gendered racism that Black women students and residents may encounter during their medical education. Using Crenshaw’s intersectionality as an analytical lens, we conducted a narrative review to highlight how Black women medical students and residents are rendered invisible in the current literature on medical education. The results generated 13 citations specifically discussing Black women medical students and residents. This study underscores the importance of diversifying medical education

Understanding the Experiences of Black Women Medical Students and Residents: A Narrative Review..

Background: Few research studies examine medical students and residents with intersectional identities. In the emerging literature, data on Black women’s experiences may be misrepresented and misinterpreted as studies aggregate data for women, students of color, and Black/African American men. As such, these studies do not account for the nuanced experiences of gendered racism that Black women students and residents may encounter during their medical education. Methods: Using Crenshaw’s intersectionality as an analytical tool, we conducted a narrative review to highlight how Black women medical students and residents are rendered invisible in the current literature on medical education. Results: The results generated 13 citations specifically discussing Black women medical students and residents, with only six studies being empirical research. Conclusion: We conclude that 13 articles is inadequate for understanding the experiences of these populations. Without centering Black women or using an intersectional lens, researchers could invalidate the lived experiences of this population and create barriers to the political resources Black women learners need to be successful. Moreover, the lack of intention behind addressing the needs of Black women can be viewed as complicity in the oppressive structures that serve to subjugate them